The following charts show your cost of coverage for medical, dental and vision coverage in 2021. To view your cost for other voluntary coverages, click here. Your annual costs may be adjusted by:
- 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 (HI) as separate paycheck deductions (effective January 1, 2021, HI deductions will be taken on an after-tax basis - learn more here).
- Healthyrewards Discount – If you and/or your spouse/domestic partner completed all required Healthyrewards activities to receive the 2021 premium discount by the required deadline of June 30, 2020 and were enrolled in a medical plan option in 2020, an annual adjustment (not shown below) will be made to your medical contributions ($300 Individual/ $600 Individual + Spouse/Domestic Partner). Reminder: This program was discontinued effective July 1, 2020. You can learn more about this change here on HR Connect.
Bi-Weekly
| |
SavingsPlus HSA
|
Traditional Choice Plus
|
Basic Plus
|
|
Single
|
$44.77
|
$86.31
|
$33.34
|
|
Associate + 1
|
$98.31
|
$194.77
|
$72.91
|
|
Associate + Family
|
$183.23
|
$332.31
|
$132.09
|
Monthly
| |
SavingsPlus HSA
|
Traditional Choice Plus
|
Basic Plus
|
|
Single
|
$97
|
$187
|
$72.23
|
|
Associate + 1
|
$213
|
$422
|
$157.98
|
|
Associate + Family
|
$397
|
$720
|
$286.19
|
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
|
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
|
Back to 2021 Open Enrollment