Health Plans
NOTE: Costs shown are based on per paycheck deductions during 2026.
| Aetna EPO Basic HSA | Employee | Employee/Child(ren) | Employee/Spouse | Employee/Family |
|---|---|---|---|---|
| Less than $75,000 | $59 | $105 | $134 | $179 |
| $75,000-$99,999 | $64 | $111 | $144 | $196 |
| $100,000-$149,999 | $66 | $118 | $151 | $213 |
| $150,000 and Greater | $68 | $129 | $159 | $216 |
| Aetna EPO Buy-Up HSA | Employee | Employee/Child(ren) | Employee/Spouse | Employee/Family |
|---|---|---|---|---|
| Less than $75,000 | $87 | $153 | $195 | $262 |
| $75,000-$99,999 | $92 | $162 | $207 | $278 |
| $100,000-$149,999 | $97 | $172 | $218 | $295 |
| $150,000 and Greater | $103 | $188 | $232 | $309 |
| Aetna EPO Select | Employee | Employee/Child(ren) | Employee/Spouse | Employee/Family |
|---|---|---|---|---|
| Less than $75,000 | $105 | $188 | $238 | $401 |
| $75,000-$99,999 | $112 | $204 | $258 | $431 |
| $100,000-$149,999 | $115 | $211 | $266 | $445 |
| $150,000 and Greater | $124 | $234 | $287 | $469 |
Dental Plan
Employee contribution
| Guardian DHMO | Guardian PPO | |
|---|---|---|
| Employee Only | $0.00 | $5.20 |
| Employee + Child(ren) | $6.45 | $35.28 |
| Employee + Spouse | $4.91 | $36.21 |
| Employee + Family | $8.44 | $49.68 |
Vision Plan
| Employee contribution | |
|---|---|
| Employee Only | $3.74 |
| Employee + Children | $6.11 |
| Employee + Child | $5.99 |
| Employee + Spouse | $5.99 |
| Employee + Family | $9.85 |
Health Savings Account
| 2026 IRS contribution limit* | Company maximum contribution | Your maximum allowed contribution | |
|---|---|---|---|
| Employee Only | $4,400 | $500 | $3,900 |
| Employee + Child(ren) | $8,750 | $1,000 | $7,750 |
| Employee + Spouse | $8,750 | $1,000 | $7,750 |
| Employee + Family | $8,750 | $1,000 | $7,750 |
* If employee will be age 55 or older during 2026, increase the above amounts by $1,000.