Employee contributions remain connected to a person’s base salary. Use the grids below to find the employee contribution relevant to your situation. For the 2023-24 fiscal year, please see HR for the health premiums.
Black Plan
Salaries under $25,000
Number of people Biweekly Monthly Single Coverage $17.72 $35.44 Double Coverage $53.16 $106.31 Family Coverage $67.66 $135.32
Per-paycheck contributions Salaries $25,001 – $50,000
Number of people Biweekly Monthly Single Coverage $31.01 $62.02 Double Coverage $85.05 $170.10 Family Coverage $106.31 $212.63
Per-paycheck contributions Salaries $50,001 – $75,000
Number of people Biweekly Monthly Single Coverage $44.30 $88.60 Double Coverage $127.58 $255.15 Family Coverage $159.47 $318.94
Per-paycheck contributions Salaries $75,001 – $100,000
Number of people Biweekly Monthly Single Coverage $57.59 $115.17 Double Coverage $159.47 $318.94 Family Coverage $199.34 $398.68
Per-paycheck contributions Salaries $100,001+
Number of people Biweekly Monthly Single Coverage $79.74 $159.47 Double Coverage $233.89 $467.78 Family Coverage $292.36 $584.73
Per-paycheck contributions Full Premium (Employer plus Employee portions)
Number of people Biweekly Monthly Single Coverage $442.98 $885.95 Double Coverage $1,063.14 $2,126.28 Family Coverage $1,328.93 $2,657.85
Full premium recommended by ASR Orange Plan
Salaries under $25,000
Number of people Biweekly Monthly Single Coverage $74.47 $148.93 Double Coverage $178.72 $357.43 Family Coverage $255.16 $510.32
Per-paycheck contributions Salaries $25,001 – $50,000
Number of people Biweekly Monthly Single Coverage $89.36 $178.72 Double Coverage $214.46 $428.92 Family Coverage $289.87 $579.74
Per-paycheck contributions Salaries $50,001 – $75,000
Number of people Biweekly Monthly Single Coverage $109.22 $218.43 Double Coverage $262.12 $524.24 Family Coverage $327.65 $655.30
Per-paycheck contributions Salaries $75,001 – $100,000
Number of people Biweekly Monthly Single Coverage $124.11 $248.22 Double Coverage $297.86 $595.72 Family Coverage $372.33 $744.66
Per-paycheck contributions Salaries $100,001+
Number of people Biweekly Monthly Single Coverage $158.86 $317.72 Double Coverage $381.26 $762.52 Family Coverage $476.58 $953.16
Per-paycheck contributions Full Premium (Employer plus Employee portions)
Number of people Biweekly Monthly Single Coverage $496.44 $992.87 Double Coverage $1,191.45 $2,382.89 Family Coverage $1,489.31 $2,978.62
Full premium recommended by ASR
