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 - $68.30
MonteCare PPO - $96.53
Full-time You and Your Family
MonteCare EPO - $191.22
MonteCare PPO - $270.25
Part-time You Only
MonteCare EPO - $132.87
MonteCare PPO - $162.43
Part-time You and Your Family
MonteCare EPO - $372.03
MonteCare PPO - $454.79
Salary Band $100,000 – $149,999
Full-time You Only
MonteCare EPO - $80.71
MonteCare PPO - $108.94
Full-time You and Your Family
MonteCare EPO - $225.99
MonteCare PPO - $305.02
Part-time You Only
MonteCare EPO - $141.97
MonteCare PPO - $171.54
Part-time You and Your Family
MonteCare EPO - $372.03
MonteCare PPO - $480.25
Salary Band $150,000 – $199,999
Full-time You Only
MonteCare EPO - $86.92
MonteCare PPO - $115.15
Full-time You and Your Family
MonteCare EPO - $243.37
MonteCare PPO - $322.40
Part-time You Only
MonteCare EPO - $146.52
MonteCare PPO - $176.09
Part-time You and Your Family
MonteCare EPO - $410.27
MonteCare PPO - $493.03
Salary Band $200,000 – $249,999
Full-time You Only
MonteCare EPO - $93.13
MonteCare PPO - $121.36
Full-time You and Your Family
MonteCare EPO - $260.76
MonteCare PPO - $339.79
Part-time You Only
MonteCare EPO - $151.08
MonteCare PPO - $180.64
Part-time You and Your Family
MonteCare EPO - $423.02
MonteCare PPO - $505.78
Salary Band $250,000 and over
Full-time You Only
MonteCare EPO - $99.33
MonteCare PPO - $127.57
Full-time You and Your Family
MonteCare EPO - $278.14
MonteCare PPO - $357.17
Part-time You Only
MonteCare EPO - $155.63
MonteCare PPO - $185.19
Part-time You and Your Family
MonteCare EPO - $435.77
MonteCare PPO - $518.52
OptumHealth 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
$9.28
You and Your Family
$23.22
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 • $24.05
After your first year at Einstein • $14.05
You and Your Family
Your first year at Einstein • $67.32
After your first year at Einstein • $43.63
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
$0.026 per $1,000
Nicotine user
$0.028 per $1,000
25-29 Age Group
Non-nicotine user
$0.028 per $1,000
Nicotine user
$0.030 per $1,000
30-34 Age Group
Non-nicotine user
$0.035 per $1,000
Nicotine user
$0.038 per $1,000
35-39 Age Group
Non-nicotine user
$0.044 per $1,000
Nicotine user
$0.046 per $1,000
40-44 Age Group
Non-nicotine user
$0.057 per $1,000
Nicotine user
$0.063 per $1,000
45-49 Age Group
Non-nicotine user
$0.091 per $1,000
Nicotine user
$0.101 per $1,000
50-54 Age Group
Non-nicotine user
$0.146 per $1,000
Nicotine user
$0.162 per $1,000
55-59 Age Group
Non-nicotine user
$0.249 per $1,000
Nicotine user
$0.277 per $1,000
60-64 Age Group
Non-nicotine user
$0.354 per $1,000
Nicotine user
$0.393 per $1,000
65-69 Age Group
Non-nicotine user
$0.598 per $1,000
Nicotine user
$0.664 per $1,000
70+ Age Group
Non-nicotine user
$0.939 per $1,000
Nicotine user
$1.043 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:
- $3.92 for yourself
- $5.25 for you and your family.