
2026 Cost of Coverage
Medical Contribution Rates (Biweekly)
| Aetna HDHP Plan with HSA | Biweekly Medical Contributions | |||
|---|---|---|---|---|
| Per Pay Period (26 / year) | Employee | Employee + SP | Employee + Child(ren) | Family |
| Tier 1 Premium Salary less than $59,999 |
$83.75 | $167.25 | $156.25 | $250.75 |
| Tier 2 Premium Salary $60,000 – $149,999 |
$95.00 | $191.00 | $179.50 | $284.00 |
| Tier 3 Premium Salary $150,000 – $249,999 |
$114.25 | $228.50 | $216.50 | $342.75 |
| Tier 4 Premium Salary $250,000 and over |
$130.25 | $260.00 | $247.50 | $389.75 |
| Aetna POS Plan | Biweekly Medical Contributions (Biweekly) | |||
|---|---|---|---|---|
| Per Pay Period (26 / year) | Employee | Employee + SP | Employee + Child(ren) | Family |
| Tier 1 Premium Salary less than $59,999 |
$95.00 | $189.50 | $178.50 | $284.25 |
| Tier 2 Premium Salary $60,000 – $149,999 |
$110.25 | $220.25 | $208.75 | $330.50 |
| Tier 3 Premium Salary $150,000 – $249,999 |
$132.50 | $265.00 | $252.50 | $397.00 |
| Tier 4 Premium Salary $250,000 and over |
$154.75 | $309.25 | $297.00 | $464.00 |
| Per Pay Period (26 / year) | Employee | Employee + SP | Employee + Child(ren) | Family |
|---|---|---|---|---|
| DMO Plan | $4.42 | $8.84 | $9.94 | $14.36 |
| PPO Plan | $19.46 | $38.92 | $43.79 | $63.25 |
| PPO PLUS Plan | $21.44 | $42.93 | $48.24 | $69.69 |
| Semi-Monthly (24 / year) | Employee | Employee + SP | Employee + Child(ren) | Family |
|---|---|---|---|---|
| Base Choice VSP Vision Plan | $2.69 | $4.30 | $4.39 | $7.08 |
| Premier VSP Vision Plan | $3.31 | $5.29 | $5.40 | $8.71 |