The charts below list the amounts you will pay per pay period for coverage. It’s important to review your options and costs, and choose the coverage that’s right for you.
Medical Costs (Per Pay Period)
Coverage |
DISH Medical Plan (DMP) |
Employee Only |
$65 |
Employee + One |
$130 |
Employee + Two |
$195 |
Each Additional Dependent |
$15 per dependent |
Dental Costs (Per Pay Period)
Dental Plans |
Cigna DHMO |
MetLife Low Plan |
MetLife High Plan |
Employee Only |
$6.20 |
$8.25 |
$16.48 |
Employee + One |
$11.09 |
$16.29 |
$31.52 |
Employee + Two |
$17.05 |
$23.23 |
$44.76 |
Employee + Family |
$20.15 |
$31.33 |
$49.07 |
Vision Costs (Per Pay Period)
Coverage |
Exam Plus Plan |
Enhanced Vision Plan |
Employee Only |
$0.45 |
$3.08 |
Employee + One |
$0.72 |
$4.31 |
Employee + Family |
$1.30 |
$7.73 |
Buy-up Short-Term and Optional Long-Term Disability Costs (Per Pay Period)
Buy-up Short-Term Disability |
Optional Long-Term Disability |
|
Rate per $10 of Weekly Benefit |
Age on 1/1/24 |
Rate per $100 of Monthly Base Pay |
All Employees Buy-Up Option One |
$0.060 |
Under 30 |
$0.073 |
All Employees Buy-Up Option Two |
$0.063 |
30 – 34 |
$0.108 |
|
|
35 – 39 |
$0.163 |
|
|
40 – 44 |
$0.271 |
|
|
45 – 49 |
$0.393 |
|
|
50 – 54 |
$0.552 |
|
|
55 – 59 |
$0.678 |
|
|
60+ |
$0.801 |
Accident Insurance
Employee Only |
$2.94 |
Employee + Spouse |
$4.69 |
Employee + Child(ren) |
$6.24 |
Employee + Spouse and Child(ren) |
$9.50 |
Critical Illness Insurance (Per Pay Period)
Employee Only
Age on 1/1/23 |
Option 1 |
Option 2 |
Option 3 |
Under 25 |
$0.74 |
$1.48 |
$2.22 |
25 – 29 |
$1.02 |
$2.03 |
$3.05 |
30 – 34 |
$1.38 |
$2.77 |
$4.15 |
35 – 39 |
$1.98 |
$3.97 |
$5.95 |
40 – 44 |
$3.32 |
$6.65 |
$9.97 |
45 – 49 |
$5.54 |
$11.08 |
$16.62 |
50 – 54 |
$8.03 |
$16.06 |
$24.09 |
55 – 59 |
$11.12 |
$22.25 |
$33.37 |
60 – 64 |
$15.74 |
$31.48 |
$47.22 |
65 – 69 |
$21.51 |
$43.02 |
$64.52 |
70 – 74 |
$28.48 |
$56.95 |
$85.43 |
75+ |
$40.20 |
$80.40 |
$120.60 |
Employee + Spouse
Age on 1/1/23 |
Option 1 |
Option 2 |
Option 3 |
Under 25 |
$1.04 |
$2.08 |
$3.12 |
25 – 29 |
$1.48 |
$2.95 |
$4.43 |
30 – 34 |
$2.03 |
$4.06 |
$6.09 |
35 – 39 |
$2.93 |
$5.86 |
$8.79 |
40 – 44 |
$4.85 |
$9.69 |
$14.54 |
45 – 49 |
$7.94 |
$15.88 |
$23.82 |
50 – 54 |
$11.52 |
$23.03 |
$34.55 |
55 – 59 |
$15.74 |
$31.48 |
$47.22 |
60 – 64 |
$22.68 |
$45.37 |
$68.05 |
65 – 69 |
$31.20 |
$62.40 |
$93.60 |
70 – 74 |
$41.56 |
$83.12 |
$124.68 |
75+ |
$55.57 |
$111.14 |
$166.71 |
Employee + Child(ren)
Age on 1/1/23 |
Option 1 |
Option 2 |
Option 3 |
Under 25 |
$0.90 |
$1.80 |
$2.70 |
25 – 29 |
$1.18 |
$2.35 |
$3.53 |
30 – 34 |
$1.55 |
$3.09 |
$4.64 |
35 – 39 |
$2.15 |
$4.29 |
$6.44 |
40 – 44 |
$3.48 |
$6.97 |
$10.45 |
45 – 49 |
$5.70 |
$11.40 |
$17.10 |
50 – 54 |
$8.19 |
$16.38 |
$24.58 |
55 – 59 |
$11.28 |
$22.57 |
$33.85 |
60 – 64 |
$15.90 |
$31.80 |
$47.70 |
65 – 69 |
$21.67 |
$43.34 |
$65.01 |
70 – 74 |
$28.64 |
$57.28 |
$85.92 |
75+ |
$40.36 |
$80.72 |
$121.08 |
Employee + Family
Age on 1/1/23 |
Option 1 |
Option 2 |
Option 3 |
Under 25 |
$1.20 |
$2.40 |
$3.60 |
25 – 29 |
$1.64 |
$3.28 |
$4.92 |
30 – 34 |
$2.19 |
$4.38 |
$6.58 |
35 – 39 |
$3.09 |
$6.18 |
$9.28 |
40 – 44 |
$5.01 |
$10.02 |
$15.02 |
45 – 49 |
$8.10 |
$16.20 |
$24.30 |
50 – 54 |
$11.68 |
$23.35 |
$35.03 |
55 – 59 |
$15.90 |
$31.80 |
$47.70 |
60 – 64 |
$22.85 |
$45.69 |
$68.54 |
65 – 69 |
$31.36 |
$62.72 |
$94.08 |
70 – 74 |
$41.72 |
$83.45 |
$125.17 |
75+ |
$55.73 |
$111.46 |
$167.19 |
Hospital Indemnity Insurance
Employee Only |
$4.87 |
Employee + Spouse |
$13.26 |
Employee + Child(ren) |
$11.36 |
Employee + Spouse and Child(ren) |
$21.15 |
Your Costs for Employee, Spouse and Dependent Optional Term Life Insurance
The rates below are shown per pay period per $1,000 of coverage.
Age on 1/1/23 |
Employee Life: Non-Tobacco User1 |
Employee Life: Tobacco User1 |
Spouse Life 2 |
Dependent Child Life |
Under 25 |
$0.012 |
$0.023 |
$0.017 |
$0.017 |
25 – 29 |
$0.017 |
$0.027 |
$0.021 |
|
30 – 34 |
$0.021 |
$0.037 |
$0.024 |
|
35 – 39 |
$0.024 |
$0.040 |
$0.028 |
|
40 – 44 |
$0.037 |
$0.045 |
$0.041 |
|
45 – 49 |
$0.057 |
$0.068 |
$0.062 |
|
50 – 54 |
$0.090 |
$0.105 |
$0.094 |
|
55 – 59 |
$0.168 |
$0.196 |
$0.176 |
|
60 – 64 |
$0.242 |
$0.300 |
$0.254 |
|
65 – 69 |
$0.381 |
$0.578 |
$0.520 |
|
70 – 74 |
$0.626 |
$0.937 |
$0.709 |
|
75+ |
$0.799 |
$0.937 |
$0.844 |
|
Legal Plan
Coverage |
Monthly Cost |
Employee + Family1 |
$15.95 |
If you are a non-tobacco user, your life insurance rates will be lower than if you use tobacco.