2024 Einstein Semi-Monthly Rate Sheet
MONTECARE EPO/MONTECARE PPO SEMI-MONTHLY PREMIUMS
Salary Band Under $39,000
Full-time You Only
MonteCare EPO - $52.77
MonteCare PPO - $81.00
Full-time You and Your Family
MonteCare EPO - $147.76
MonteCare PPO - $226.79
Part-time You Only
MonteCare EPO - $68.62
MonteCare PPO - $151.05
Part-time You and Your Family
MonteCare EPO - $340.15
MonteCare PPO - $422.91
Salary Band $40,000 – $64,999
Full-time You Only
MonteCare EPO - $60.54
MonteCare PPO - $88.77
Full-time You and Your Family
MonteCare EPO - $169.49
MonteCare PPO - $248.52
Part-time You Only
MonteCare EPO - $127.19
MonteCare PPO - $156.74
Part-time You and Your Family
MonteCare EPO - $356.09
MonteCare PPO - $438.85
Salary Band $65,000 – $99,999
Full-time You Only
MonteCare EPO - $75.29
MonteCare PPO - $124.81
Full-time You and Your Family
MonteCare EPO - $210.80
MonteCare PPO - $349.46
Part-time You Only
MonteCare EPO - $146.48
MonteCare PPO - $205.46
Part-time You and Your Family
MonteCare EPO - $410.13
MonteCare PPO - $575.30
Salary Band $100,000 – $149,999
Full-time You Only
MonteCare EPO - $88.98
MonteCare PPO - $143.57
Full-time You and Your Family
MonteCare EPO - $249.12
MonteCare PPO - $401.98
Part-time You Only
MonteCare EPO - $156.51
MonteCare PPO - $219.22
Part-time You and Your Family
MonteCare EPO - $438.24
MonteCare PPO - $613.83
Salary Band $150,000 – $199,999
Full-time You Only
MonteCare EPO - $95.82
MonteCare PPO - $151.76
Full-time You and Your Family
MonteCare EPO - $268.30
MonteCare PPO - $424.92
Part-time You Only
MonteCare EPO - $161.53
MonteCare PPO - $225.25
Part-time You and Your Family
MonteCare EPO - $452.28
MonteCare PPO - $630.63
Salary Band $200,000 – $249,999
Full-time You Only
MonteCare EPO - $102.66
MonteCare PPO - $161.44
Full-time You and Your Family
MonteCare EPO - $287.46
MonteCare PPO - $452.04
Part-time You Only
MonteCare EPO - $166.56
MonteCare PPO - $232.34
Part-time You and Your Family
MonteCare EPO - $466.34
MonteCare PPO - $650.54
Salary Band $250,000 and over
Full-time You Only
MonteCare EPO - $109.51
MonteCare PPO - $169.70
Full-time You and Your Family
MonteCare EPO - $306.62
MonteCare PPO - $475.15
Part-time You Only
MonteCare EPO - $171.57
MonteCare PPO - $238.39
Part-time You and Your Family
MonteCare EPO - $480.39
MonteCare PPO - $667.48
UNITEDHEALTHCARE VISION PLAN - SEMI-MONTHLY PREMIUMS
LOW OPTION
You Only
$2.49
You and One Family Member
$4.44
You and Your Family
$7.53
HIGH OPTION
You Only
$3.84
You and One Family Member
$7.36
You and Your Family
$10.17
DENTAL SEMI-MONTHLY PREMIUMS
CIGNA DHMO
You Only
$8.07
You and Your Family
$20.20
PREVENTIVE & DIAGNOSTIC DENTAL CARE ONLY
You Only
Your first year at Einstein • $3.65
After your first year at Einstein • $0
You and Your Family
Your first year at Einstein • $10.22
After your first year at Einstein • $0
CIGNA DPPO DENTAL PLAN
You Only
Your first year at Einstein • $19.24
After your first year at Einstein • $9.23
You and Your Family
Your first year at Einstein • $53.85
After your first year at Einstein • $30.16
CIGNA DPPO ENHANCED DENTAL PLAN
You Only
Your first year at Einstein • $26.13
After your first year at Einstein • $16.13
You and Your Family
Your first year at Einstein • $73.16
After your first year at Einstein • $49.47
LIFE INSURANCE
Basic Life Insurance
Einstein provides Basic Life Insurance – at no cost to you after you complete one year at Einstein.
- Your Basic Life Insurance monthly premium is $0.08 for every $1,000 of your annual base salary.
- If you elect to opt down to $50,000, your monthly premium is $4.00 ($2.00 semi-monthly).
Supplemental Life Insurance
Under 25 Age Group
Non-nicotine user
$0.025 per $1,000
Nicotine user
$0.027 per $1,000
25-29 Age Group
Non-nicotine user
$0.027 per $1,000
Nicotine user
$0.029 per $1,000
30-34 Age Group
Non-nicotine user
$0.034 per $1,000
Nicotine user
$0.037 per $1,000
35-39 Age Group
Non-nicotine user
$0.043 per $1,000
Nicotine user
$0.045 per $1,000
40-44 Age Group
Non-nicotine user
$0.056 per $1,000
Nicotine user
$0.061 per $1,000
45-49 Age Group
Non-nicotine user
$0.089 per $1,000
Nicotine user
$0.098 per $1,000
50-54 Age Group
Non-nicotine user
$0.142 per $1,000
Nicotine user
$0.158 per $1,000
55-59 AGE GROUP
Non-nicotine user
$0.243 per $1,000
Nicotine user
$0.270 per $1,000
60-64 AGE GROUP
Non-nicotine user
$0.345 per $1,000
Nicotine user
$0.383 per $1,000
65-69 AGE GROUP
Non-nicotine user
$0.583 per $1,000
Nicotine user
$0.647 per $1,000
70+ Age Group
Non-nicotine user
$0.916 per $1,000
Nicotine user
$1.017 per $1,000
Supplemental Life Insurance Premium Calculator
DEPENDENT LIFE INSURANCE
If you elect Dependent Life Insurance, the semi-monthly cost is:
- $1.61 – $10,000 for your spouse; $5,000 for each child
- $3.22 – $20,000 for your spouse; $10,000 for each child.
AD&D INSURANCE
Basic AD&D
Einstein provides Basic Life Insurance – at no cost to you after you complete one year at Einstein. Your Basic AD&D Insurance monthly premium is $0.014 for every $1,000 of your annual base salary.
SUPPLEMENTAL AD&D
For every $1,000 of coverage you elect, your Supplemental AD&D monthly premium is based on:
- $0.018 for yourself
- $0.018 for your spouse
- $0.015 for each child.
GROUP LEGAL SERVICES
If you elect Group Legal Services, the semi-monthly cost is:
- $4.12 for yourself
- $5.62 for you and your family.