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Benefit Cost Sheet (2010 Rates)
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Below are associate costs for medical, dental and vision
care plan options. Please remember if you have a non-IRS qualified domestic
partner, the portion of the benefits that are attributed to your domestic
partner are taxed, and the portion of your contribution attributed to
your domestic partner is deducted post-tax.
To determine sales associates' contribution level, compensation
includes base pay and the prior two full year's commissions and/or sales
bonuses.
Costs shown are per pay period.
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Medical
Plan
Tier Level
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Full-Time
Weekly Paid Hourly Associate (52 paychecks/2010)
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Full-Time
Bi-Weekly Paid Hourly Associate (26 paychecks/yr)
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Full-Time
Bi-Weekly Paid Salaried Associate (Mgr & Below, Sales under
$100,000/yr)
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Full-Time
Bi-Weekly Paid Salaried Associate (Dir & Above, Sales over
$100,000/yr)
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Part-Time
(scheduled to work 20-37.4 hrs/wk)
Bi-Weekly
Paid Hourly or Salaried Associate
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| BCBS
Buy-Up |
| Individual |
$17.82
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$35.64
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$35.64
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$45.37
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$56.49
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| Individual+1 |
$50.12
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$100.25
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$100.25
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$110.94
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$127.10
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| Family |
$62.55
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$125.10
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$125.10
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$137.59
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$152.52
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| BCBS
Basic |
| Individual |
$14.07
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$28.15
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$28.15
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$35.96
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$50.24
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| Individual+1 |
$32.65
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$65.30
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$65.30
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$84.43
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$113.05
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| Family |
$42.22
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$84.43
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$84.43
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$105.54
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$135.66
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| BCBS Health Choice Savings (Consumer
Driven Health Plan with Health Savings Account HSA) |
| Individual |
$8.10
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$16.21
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$16.21
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$22.10
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$23.73
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| Individual+1 |
$22.26
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$56.52
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$56.52
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$60.22
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$60.07
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| Family |
$36.32
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$72.64
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$72.64
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$77.51
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$76.09
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| Cigna
HMO (CT Only) |
| Individual |
$28.86
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$57.71
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$57.71
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$64.64
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$78.49
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| Individual+1 |
$55.92
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$111.83
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$111.83
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$125.25
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$152.09
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| Family |
$93.36
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$186.73
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$186.73
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$201.67
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$253.95
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Dental
Plan
Tier Level
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Full-Time
Weekly Paid Hourly Associate (52 paychecks/2010)
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Full-Time
Bi-Weekly Paid Hourly Associate (26 paychecks/yr)
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Full-Time
Bi-Weekly Paid Salaried Associate (Mgr & Below, Sales under
$100,000/yr
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Full-Time
Bi-Weekly Paid Salaried Associate (Dir & Above, Sales over
$100,000/yr)
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Part-Time
(scheduled to work 20-37.4 hrs/wk)
Bi-Weekly
Paid Hourly or Salaried Associate
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| Cigna Dental DMO |
| Individual |
$ .67
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$1.34
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$1.34
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$1.34
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$2.62
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| Individual+1 |
$1.17
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$2.34
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$2.34
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$2.34
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$4.56
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| Family |
$2.09
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$4.19
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$4.19
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$4.19
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$8.16
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| Cigna Dental Basic PPO |
| Individual |
$1.55
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$3.11
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$3.11
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$3.11
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$5.74
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| Individual+1 |
$2.94
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$5.89
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$5.89
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$5.89
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$10.91
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| Family |
$5.12
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$10.23
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$10.23
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$10.23
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$18.95
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| Cigna Dental Buy-up PPO |
| Individual |
$3.58
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$7.15
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$7.15
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$7.15
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$8.35
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| Individual+1 |
$6.79
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$13.58
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$13.58
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$13.58
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$15.86
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| Family |
$11.79
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$23.58
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$23.58
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$23.58
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$27.54
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Vision Plan
Tier Level
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Full-Time
Weekly Paid Hourly Associate (52 paychecks/2010)
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Full-Time
Bi-Weekly Paid Hourly Associate (26 paychecks/yr)
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Full-Time
Bi-Weekly Paid Salaried Associate (Mgr & Below, Sales under
$100,000/yr
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Full-Time
Bi-Weekly Paid Salaried Associate (Dir & Above, Sales over
$100,000/yr)
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Part-Time
(scheduled to work 20-37.4 hrs/wk)
Bi-Weekly
Paid Hourly or Salaried Associate
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| EyeMed Vision |
| Individual |
$1.48
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$2.95
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$2.95
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$2.95
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$2.95
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| Individual+1 |
$2.90
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$5.81
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$5.81
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$5.81
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$5.81
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| Family |
$5.01
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$10.03
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$10.03
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$10.03
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$10.03
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