2024 medical premiums

2024 medical premiums

Medical premiums are deducted pre-tax from your pay semi-monthly, except for premiums for domestic partners and their children, which are deducted after-tax.

The amount you save as a Peak Health participant will be credited to your pay and reflected as a medical credit in your pay.  

$500 PPO Plans

Aetna broad network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $98.02 $20.11 $33.30 $44.59 $49.50
$50,000-124,999 $115.32 $23.66 $39.18 $52.47 $58.24
>$125,000 $132.63 $27.22 $45.07 $60.35 $66.99
Teammate and spouse 
or domestic partner		 $0-49,999 $292.94 $44.02 $90.75 $106.77 $121.42
$50,000-124,999 $344.64 $51.79 $106.78 $125.62 $142.85
>$125,000 $396.33 $59.56 $122.78 $144.46 $164.27
Teammate and child(ren)
or domestic partner's child(ren)		 $0-49,999 $237.60 $33.47 $57.87 $77.31 $89.19
$50,000-124,999 $279.54 $39.38 $68.10 $90.96 $104.94
>$125,000 $321.47 $45.28 $78.31 $104.60 $120.67
Family $0-49,999 $482.84 $65.33 $108.43 $142.11 $166.24
$50,000-124,999 $568.04 $76.85 $127.55 $167.18 $195.57
>$125,000 $653.25 $88.38 $146.69 $192.25 $224.91

Aetna narrow network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $76.86 $10.54 $23.25 $33.97 $37.83
$50,000-124,999 $90.43 $12.41 $27.36 $39.98 $44.51
>$125,000 $103.99 $14.26 $31.47 $45.97 $51.17
Teammate and spouse or domestic partner $0-49,999 $266.92 $49.70 $86.21 $101.01 $114.35
$50,000-124,999 $314.02 $58.47 $101.42 $118.83 $134.53
>$125,000 $361.13 $67.25 $116.65 $136.67 $154.72
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $212.29 $27.90 $51.47 $69.89 $80.50
$50,000-124,999 $249.75 $32.82 $60.55 $82.22 $94.71
>$125,000 $287.21 $37.74 $69.64 $94.55 $108.91
Family $0-49,999 $448.21 $61.74 $103.54 $135.56 $157.97
$50,000-124,999 $527.31 $72.63 $121.82 $159.49 $185.85
>$125,000 $606.40 $83.52 $140.09 $183.41 $213.72

$1,500 Upfront Advantage plans 

Aetna broad network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $85.30 $17.50 $28.98 $38.81 $43.07
$50,000-124,999 $100.36 $20.60 $34.10 $45.66 $50.68
>$125,000 $115.41 $23.68 $39.21 $52.51 $58.28
Teammate and spouse or domestic partner $0-49,999 $234.94 $48.20 $79.82 $106.89 $118.63
$50,000-124,999 $276.42 $56.74 $93.92 $125.76 $139.59
>$125,000 $317.87 $65.22 $107.99 $144.62 $160.52
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $179.12 $36.75 $60.86 $81.50 $90.44
$50,000-124,999 $210.74 $43.26 $71.60 $95.88 $106.42
>$125,000 $242.34 $49.72 $82.33 $110.26 $122.38
Family $0-49,999 $383.85 $78.75 $130.41 $174.64 $193.81
$50,000-124,999 $451.62 $92.70 $153.45 $205.47 $228.06
>$125,000 $519.35 $106.56 $176.45 $236.30 $262.26

Aetna narrow network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $66.88 $9.17 $20.23 $29.56 $32.91
$50,000-124,999 $78.69 $10.79 $23.81 $34.79 $38.73
>$125,000 $90.50 $12.41 $27.39 $40.01 $44.54
Teammate and spouse or domestic partner $0-49,999 $184.21 $25.26 $55.72 $81.42 $90.65
$50,000-124,999 $216.74 $29.72 $65.58 $95.83 $106.68
>$125,000 $249.26 $34.18 $75.44 $110.20 $122.67
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $140.44 $19.26 $42.48 $62.07 $69.11
$50,000-124,999 $165.24 $22.66 $50.00 $73.06 $81.33
>$125,000 $190.04 $26.06 $57.52 $84.02 $93.53
Family $0-49,999 $300.96 $41.26 $91.03 $133.02 $148.09
$50,000-124,999 $354.11 $48.56 $107.15 $156.56 $174.29
>$125,000 $407.25 $55.84 $123.25 $180.04 $200.43

$250 ACO Plan

Aetna narrow network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $74.46 $7.44 $17.74 $27.34 $31.06
$50,000-124,999 $87.60 $8.76 $20.87 $32.16 $36.54
>$125,000 $100.75 $10.09 $24.02 $36.99 $42.02
Teammate and spouse or domestic partner $0-49,999 $218.93 $15.33 $45.37 $65.67 $76.63
$50,000-124,999 $257.57 $18.04 $53.38 $77.27 $90.15
>$125,000 $296.20 $20.74 $61.39 $88.85 $103.67
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $175.21 $12.27 $29.80 $47.31 $56.07
$50,000-124,999 $206.12 $14.42 $35.05 $55.65 $65.96
>$125,000 $237.03 $16.58 $40.30 $63.99 $75.84
Family $0-49,999 $371.69 $23.35 $60.80 $90.77 $109.35
$50,000-124,999 $437.29 $27.47 $71.54 $106.79 $128.65
>$125,000 $502.88 $31.59 $82.27 $122.81 $147.94

$2,500 HDHP Plans

Aetna broad network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $67.97 $32.89 $39.96 $47.12 $50.52
$50,000-124,999 $79.97 $38.70 $47.02 $55.44 $59.44
>$125,000 $91.97 $44.51 $54.08 $63.76 $68.36
Teammate and spouse or domestic partner $0-49,999 $156.86 $32.79 $55.06 $70.10 $77.95
$50,000-124,999 $184.54 $38.58 $64.77 $82.47 $91.70
>$125,000 $212.22 $44.37 $74.48 $94.84 $105.45
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $127.34 $28.99 $60.34 $78.41 $84.78
$50,000-124,999 $149.81 $34.10 $70.99 $92.25 $99.74
>$125,000 $172.28 $39.21 $81.64 $106.09 $114.70
Family $0-49,999 $268.41 $60.70 $97.96 $109.18 $122.60
$50,000-124,999 $315.78 $71.42 $115.25 $128.45 $144.24
>$125,000 $363.15 $82.14 $132.54 $147.72 $165.88

Aetna narrow network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $57.48 $31.09 $37.84 $44.57 $47.44
$50,000-124,999 $67.62 $36.57 $44.51 $52.43 $55.81
>$125,000 $77.76 $42.05 $51.18 $60.29 $64.18
Teammate and spouse or domestic partner $0-49,999 $137.86 $30.89 $52.47 $66.62 $73.51
$50,000-124,999 $162.19 $36.34 $61.73 $78.38 $86.49
>$125,000 $186.52 $41.79 $70.99 $90.14 $99.46
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $110.51 $27.31 $58.16 $75.48 $81.01
$50,000-124,999 $130.01 $32.13 $68.42 $88.80 $95.30
>$125,000 $149.51 $36.95 $78.68 $102.12 $109.59
Family $0-49,999 $241.82 $58.13 $94.46 $104.33 $116.42
$50,000-124,999 $284.49 $68.38 $111.13 $122.74 $136.96
>$125,000 $327.16 $78.63 $127.80 $141.15 $157.50

Kaiser Permanente

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $62.01 $20.92 $29.29 $39.05 $42.15
$50,000-124,999 $72.96 $24.62 $34.47 $45.96 $49.60
>$125,000 $83.91 $28.33 $39.65 $52.86 $57.05
Teammate and spouse or domestic partner $0-49,999 $148.47 $43.96 $61.52 $82.03 $89.45
$50,000-124,999 $174.67 $51.71 $72.38 $96.51 $105.24
>$125,000 $200.86 $59.45 $83.23 $110.97 $121.02
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $114.04 $37.66 $52.73 $70.31 $76.01
$50,000-124,999 $134.17 $44.32 $62.04 $82.72 $89.43
>$125,000 $154.29 $50.96 $71.33 $95.13 $102.84
Family $0-49,999 $198.78 $60.68 $84.95 $113.28 $123.22
$50,000-124,999 $233.86 $71.39 $99.95 $133.26 $144.96
>$125,000 $268.94 $82.10 $114.95 $153.25 $166.70

$4,000 HDHP plans

Aetna broad network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $48.27 $29.77 $38.27 $40.77 $48.27
$50,000-124,999 $56.79 $35.03 $45.03 $47.97 $51.79
>$125,000 $65.31 $40.29 $51.79 $55.17 $59.56
Teammate and spouse or domestic partner $0-49,999 $132.95 $33.84 $48.39 $65.19 $71.83
$50,000-124,999 $156.41 $39.81 $56.93 $76.69 $84.51
>$125,000 $179.87 $45.78 $65.47 $88.19 $97.18
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $101.36 $32.69 $58.84 $68.65 $73.72
$50,000-124,999 $119.25 $38.46 $69.23 $80.77 $86.73
>$125,000 $137.14 $44.23 $79.62 $92.89 $99.74
Family $0-49,999 $179.12 $49.52 $66.39 $82.65 $91.61
$50,000-124,999 $210.73 $58.26 $78.11 $97.24 $107.78
>$125,000 $242.34 $67.00 $89.83 $111.83 $123.95

Aetna narrow network

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $41.19 $29.21 $33.69 $37.44 $41.19
$50,000-124,999 $48.46 $34.37 $39.64 $44.05 $45.96
>$125,000 $55.73 $39.53 $45.59 $50.66 $52.85
Teammate and spouse or domestic partner $0-49,999 $118.97 $32.52 $46.53 $62.72 $68.67
$50,000-124,999 $139.96 $38.25 $54.74 $73.78 $80.78
>$125,000 $160.95 $43.98 $62.95 $84.84 $92.89
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $88.91 $31.55 $57.34 $66.56 $71.01
$50,000-124,999 $104.60 $37.12 $67.46 $78.31 $83.54
>$125,000 $120.29 $42.69 $77.58 $90.06 $96.07
Family $0-49,999 $159.15 $47.63 $63.71 $79.03 $86.98
$50,000-124,999 $187.24 $56.04 $74.96 $92.98 $102.34
>$125,000 $215.33 $64.45 $86.21 $106.93 $117.69

Kaiser EPO plan

Coverage level Salary (BAR) band Semi-monthly premium Peak Health phase 2 credit Peak Health phase 3 credit Peak Health phase 4 credit Peak Health phase 5 credit
Teammate only $0-49,999 $93.40 $24.58 $36.72 $50.87 $55.54
$50,000-124,999 $109.88 $28.91 $43.19 $59.84 $65.33
>$125,000 $126.36 $33.25 $49.67 $68.82 $75.13
Teammate and spouse or domestic partner $0-49,999 $280.10 $63.72 $89.21 $118.94 $132.94
$50,000-124,999 $329.53 $74.96 $104.95 $139.93 $156.41
>$125,000 $378.96 $86.21 $120.69 $160.91 $179.87
Teammate and child(ren) or domestic partner's child(ren) $0-49,999 $227.57 $54.63 $76.47 $101.96 $113.33
$50,000-124,999 $267.72 $64.25 $89.96 $119.93 $133.32
>$125,000 $307.87 $73.87 $103.44 $137.91 $153.31
Family $0-49,999 $437.76 $87.99 $123.19 $164.25 $186.13
$50,000-124,999 $515.01 $103.52 $144.92 $193.23 $218.98
>$125,000 $592.26 $119.05 $166.66 $222.21 $251.83