Contribution Rates
Your Per-Pay-Period Costs at a Glance
Your Per-Pay-Period Costs at a Glance
All contribution rates deducted from each pay period after-tax unless otherwise noted. OneMain continues to pay the majority of healthcare premium costs; however, you should review your per-pay-period costs. Premiums are deducted from each pay on a pre-tax basis. If you are covering a domestic partner, the value of the healthcare coverage provided to them is treated by the IRS as taxable income and will be imputed in your income, resulting in additional tax withholding. Visit MainStreet for more information on these benefits.
Per Pay Period
PPO Plan
Enhanced CDHP Value Plan
Base CDHP Savings Plan
Surest Copay Plan
Team Member Only
$116.82
$67.45
$52.13
$36.35
Team Member + Spouse / Domestic Partner
$260.99
$151.18
$120.11
$89.61
Team Member + Child(ren)
$209.90
$121.20
$95.91
$66.03
Team Member + Family
$372.81
$215.95
$171.72
$142.48
1. All contributions are shown with a tobacco-free discount incentive applied. Team Members who are not tobacco free have a tobacco surcharge of $23.08 per pay period on top of the elected benefit plan contributions.
Per Pay Period
Team Member Only
$88.44
Team Member + Spouse / Domestic Partner
$176.88
Team Member + Child(ren)
$159.18
Team Member + Family
$247.62
Per Pay Period
Team Member Only
$18.82
Team Member + Spouse / Domestic Partner
$123.96
Team Member + Child(ren)
$123.96
Team Member + Family
$185.95
1. Kaiser HMO plan is only available to California residents.
2. HMSA HMO plan is only available to Hawaii residents.
3. All contributions are shown with a tobacco-free discount incentive applied. Team Members who are not tobacco free have a tobacco surcharge of $23.08 per pay period on top of the elected benefit plan contributions.
Per Pay Period
Preventive
Enhanced
Team Member Only
$7.87
$18.52
Team Member + Spouse / Domestic Partner
$16.14
$35.53
Team Member + Child(ren)
$17.94
$40.09
Team Member + Family
$28.40
$63.05
Per Pay Period
Team Member Only
$2.45
Team Member + Spouse / Domestic Partner
$4.90
Team Member + Child(ren)
$5.25
Team Member + Family
$8.39
Age Group
Team Member Only
Team Member + Spouse
Team Member + Child(ren)
Team Member + Family
24 & under
$1.66
$3.25
$3.88
$5.47
25 to 29
$1.73
$3.60
$3.95
$5.82
30 to 34
$2.42
$5.05
$4.71
$7.27
35 to 39
$3.46
$7.27
$5.75
$9.55
40 to 44
$5.19
$11.08
$7.48
$13.29
45 to 49
$7.82
$16.75
$10.04
$18.97
50 to 54
$11.35
$24.44
$13.57
$26.65
55 to 59
$15.72
$34.68
$17.93
$36.90
60 to 64
$22.64
$50.54
$24.85
$52.75
65 to 69
$34.20
$76.36
$36.42
$78.58
70 & over
$52.34
$115.20
$54.62
$117.42
Age Group
Team Member Only
Team Member + Spouse
Team Member + Child(ren)
Team Member + Family
24 & under
$3.32
$6.51
$7.75
$10.94
25 to 29
$3.46
$7.20
$7.89
$11.63
30 to 34
$4.85
$10.11
$9.42
$14.54
35 to 39
$6.92
$14.54
$11.49
$19.11
40 to 44
$10.38
$22.15
$14.95
$26.58
45 to 49
$15.65
$33.51
$20.08
$37.94
50 to 54
$22.71
$48.88
$27.14
$53.31
55 to 59
$31.43
$69.37
$35.86
$73.80
60 to 64
$45.28
$101.08
$49.71
$105.51
65 to 69
$68.40
$152.72
$72.83
$157.15
70 & over
$104.68
$230.40
$109.25
$234.83
Per Pay Period
Team Member Only
$3.95
Team Member + Spouse
$5.92
Team Member + Child(ren)
$7.53
Team Member + Family
$9.61
Per Pay Period
Basic
Enhanced
Team Member Only
$5.90
$10.64
Team Member + Spouse
$11.97
$21.54
Team Member + Child(ren)
$9.41
$17.06
Team Member + Family
$16.19
$29.30
Mental Wellness benefits provided by OneMain do not have monthly contributions, but may have associated service fees, monthly costs and/or copays.
All contribution rates deducted from each pay period after-tax. If you are covering a domestic partner, the value of the healthcare coverage provided to them is treated by the IRS as taxable income and will be imputed in your income, resulting in additional tax withholding. Visit MainStreet for more information on these benefits.
Age Group
Team Member Only Monthly Cost / $1,000*
Team Member + Spouse Monthly Cost / $1,000*
34 & under
$0.036
$0.036
35 to 39
$0.043
$0.043
40 to 44
$0.074
$0.074
45 to 49
$0.128
$0.128
50 to 54
$0.207
$0.207
55 to 59
$0.348
$0.348
60 to 64
$0.568
$0.568
65 to 69
$0.983
$0.983
70 & over
$1.381
$1.381
*Monthly contribution rate per $1,000 of coverage shown. Team member and spouse/domestic partner age reductions apply: 50% at age 70.
Benefit Amount
Per Pay Period Rate
$5,000
$0.51
$10,000
$1.02
$15,000
$1.52
$20,000
$2.03
Cost Per $1,000 Per Month
Team Member Only
$0.025
Team Member + Family
$0.039
All contribution rates deducted from each pay period after-tax unless otherwise noted. If you are covering a domestic partner, the value of the healthcare coverage provided to them is treated by the IRS as taxable income and will be imputed in your income, resulting in additional tax withholding. Visit MainStreet for more information on these benefits.
You are covered automatically for a 50% LTD plan at no cost to you. You also have the option to buy up to a 60% LTD plan at $0.283 per $100 worth of coverage (monthly rate). This buy up option is subject to Evidence of Insurability and has a 365-day pre-existing condition limitations if you were not previously enrolled in company-provided or buy-up LTD.
Per Pay Period
Team Member + Family
$8.75
Per Pay Period
Team Member Only
$4.38
Team Member + Family
$7.71
The Benefits Service Center is made available to you through the HRConnect Self-Service Portal, providing support from dedicated professionals committed to helping you understand the benefit options available to you. Whether you have questions about your benefit plans, concerns about coverage, or just need guidance on which medical plan is right for you and your family, connect with the Benefits Service Center.
Contact HRConnect
This Digital Benefits Guide is intended to highlight available benefits and should not be relied upon to fully determine coverage. They are not complete descriptions of the benefits. The company may terminate or modify any benefits described on this website, at any time, for any reason. The descriptions listed on this website are not guarantees of coverage. If there is any conflict between this website and the official plan documents, the official plan documents and contracts will prevail.
Summary of Benefits Coverage are available within this Digital Benefits Guide as well as on MainStreet under Total REWARDS and Workday under My Benefits.
