Benefit Premium Rates 2026

Monthly payroll deductions for medical, dental, and vision plans are shown below.

Employee Only

$30.00/mo*

  • Base Premium
    $145.00
  • Non‐Tobacco User Discount
    ($65.00)
  • Wellness Premium Discount
    ($50.00)
  • Spouse Surcharge Discount
    -
(with all discounts)*
Federal Poverty Level Discount is not included in this chart
Family without Spouse

$220.00/mo*

  • Base Premium
    $335.00
  • Non‐Tobacco User Discount
    ($65.00)
  • Wellness Premium Discount
    ($50.00)
  • Spouse Surcharge Discount
    -
(with all discounts)*
Federal Poverty Level Discount is not included in this chart
Family with Spouse

$245.00/mo*

  • Base Premium
    $500.00
  • Non‐Tobacco User Discount
    ($130.00)
  • Wellness Premium Discount
    ($100.00)
  • Spouse Surcharge Discount
    ($25.00)
(with all discounts)*
Federal Poverty Level Discount is not included in this chart
Surviving Spouse

$220.00/mo*

  • Base Premium
    $335.00
  • Non‐Tobacco User Discount
    ($65.00)
  • Wellness Premium Discount
    ($50.00)

Your choice of BCBS Dental Plan or Southland Dental Plan

Employee Only

$15.00/mo

Family

$24.00/mo

Employee Only

$15.00/mo

Family

$24.00/mo

Employee Only

$15.00/mo

Family

$24.00/mo

Medical
  • Single
    $665.00
  • Family
    $1667.00
BC Supplemental
  • Single
    $112.00
  • Family
    $273.00
Southland Optional
  • Single
    $32.00
  • Family
    $58.00
BCBS Dental
  • Single
    $22.00
  • Family
    $62.00
Southland Dental
  • Single
    $27.00
  • Family
    $51.00
Southland Vision
  • Single
    $15.00
  • Family
    $24.00
Southland Cancer
  • Single
    $15.00
  • Family
    $24.00