Your 2020 Cost of Coverage

The following charts show your cost of coverage for medical, dental and vision coverage in 2020. Your annual costs may be adjusted by:

  • Healthyrewards Discount – If you completed all Healthyrewards activities to receive the 2020 premium discount by the required deadline of June 30, 2019, an annual adjustment will be made to your medical contributions ($300 Individual/ $600 Individual + Spouse/Domestic Partner). This program is discontinued effective July 1, 2020. You can learn more about this change here on HR Connect.
  • Tobacco surcharge – If you or a covered dependent uses tobacco, you will pay a $600 annual surcharge if you elect a Broadridge medical option. Please refer to Tobacco Free Policy located on www.totalrewards.broadridge.com > My Benefits Enrollment > Library for more information. You must make a tobacco attestation each year during Open Enrollment or you will automatically pay the surcharge.
  • Working spouse surcharge – If your spouse/domestic partner has medical coverage through his/her employer and you enroll him/her in a Broadridge medical plan, you will pay a Working Spouse/Domestic Partner surcharge ($500/year SavingsPlus HSA or Basic Plus plans and $1,000/year Traditional Choice Plus Plan). You must complete the working spouse attestation each year during Open Enrollment or you will automatically pay the surcharge.
  • Hospital Indemnity Insurance: This coverage is bundled with enrollment in the Basic Plus plan and the premiums rates below reflect that combined cost of coverage. Please note you will see medical coverage and Hospital Indemnity Insurance as separate paycheck deductions.

Medical Contributions

Bi-Weekly

 

SavingsPlus HSA

Traditional Choice Plus

Basic Plus

 

Rate

With wellness credit

Rate

With wellness credit

Rate

With wellness credit

Single

$43.38

$31.85

$84.92

$73.38

$33.34

$21.80

Associate + 1

$95.08

$72

$191.54

$168.46

$72.91

$49.84

Associate + Family

$177.69

$154.62

$326.77

$303.69

$132.09

$109.01

Monthly

 

SavingsPlus HSA

Traditional Choice Plus

Basic Plus

 

Rate

With wellness credit

Rate

With wellness credit

Rate

With wellness credit

Single

$94

$69

$184

$159

$72.23

$47.23

Associate + 1

$206

$156

$415

$365

$157.98

$107.98

Associate + Family

$385

$335

$708

$658

$286.19

$236.19

Dental Contributions

Bi-Weekly

 

Option 1 – Aetna Indemnity PPO

Option 2 – Aetna Dental Preferred Provider Organization (PPO)

Option 3 – Aetna Dental Maintenance Organization (DMO)

Single

$18.30

$9.35

$4.94

Associate + 1

$39.30

$19.50

$9.98

Associate + Family

$58.30

$30.50

$16.95

Monthly

 

Option 1 – Aetna Indemnity PPO

Option 2 – Aetna Dental Preferred Provider Organization (PPO)

Option 3 – Aetna Dental Maintenance Organization (DMO)

Single

$39.65

$20.26

$10.70

Associate + 1

$85.15

$42.25

$21.62

Associate + Family

$126.32

$66.08

$36.73

Vision Contributions

Bi-Weekly

 

Aetna Vision

Single

$4.20

Associate + 1

$6.11

Associate + Family

$10.96

Monthly

 

Aetna Vision

Single

$9.11

Associate + 1

$13.23

Associate + Family

$23.75

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