Your cost depends on the plan option and the coverage amount you choose, which can range from $10,000 to $500,000. You pay nothing for the first month. Likewise, if you increase coverage, you don't pay the extra premium for the first partial month of increased coverage.

Monthly Employee Rates 

Coverage Self
(You)
Family
(You, spouse/partner & eligible children)
Modified Family
(You & eligible children)
$10,000 $0.10 $0.17 $0.12
$20,000 $0.20 $0.34 $0.24
$30,000 $0.30 $0.51 $0.36
$40,000 $0.40 $0.68 $0.48
$50,000 $0.50 $0.85 $0.60
$60,000 $0.60 $1.02 $0.72
$70,000 $0.70 $1.19 $0.84
$80,000 $0.80 $1.36 $0.96
$90,000 $0.90 $1.53 $1.08
$100,000 $1.00 $1.70 $1.20
$125,000 $1.25 $2.13 $1.50
$150,000 $1.50 $2.55 $1.80
$175,000 $1.75 $2.98 $2.10
$200,000 $2.00 $3.40 $2.40
$300,000 $3.00 $5.10 $3.60
$400,000 $4.00 $6.80 $4.80
$500,000 $5.00 $8.50 $6.00

Annual Retiree Cost 

Coverage Individual  Individual & Spouse/Domestic Partner 
$10,000 $11.80 $17.40
$20,000 $23.60 $34.80
$25,000 $29.50 $43.50
$30,000 $35.40 $52.20
$40,000 $47.20 $69.60
$50,000 $59.00 $87.00
$60,000 $70.80 $104.40
$70,000 $82.60 $121.80
$80,000 $94.40 $139.20
$90,000 $106.20 $156.60
$100,000 $118.00 $174.00
$125,000 $147.50 $217.50
$150,000 $177.00 $261.00
$175,000 $206.50 $304.50
$200,000 $236.00 $348.00
$250,000* $295.00 $435.00

* Available only if coverage as employee exceeded $250,000