2024 Health Plan Costs English NonHawaii

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2024 Costs for Coverage

Use this document for a cost overview of Medical, Dental, and Vision benefits you're eligible for.
Rates are per paycheck and based on your pay frequency and employment status.

Paycheck frequency: Monthly


Employment status: Full-Time

Medical Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Cigna In-Network Only Basic Plan $33.00 $225.00 $184.00 $374.00
Cigna In-Network Only Enhanced Plan $77.00 $338.00 $281.00 $515.00
Shared Deductible Plan $75.00 $321.00 $268.00 $512.00
Standard Plan $108.00 $385.00 $301.00 $567.00
Health Savings Plan $55.00 $281.00 $232.00 $456.00
Kaiser HMO (CA, CO, DC, MD, VA, WA) $119.00 $384.00 $339.00 $566.00
SIMNSA Mexico Care Plan* $33.00 $110.00 $138.00 $193.00

Dental Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Delta Dental Basic Plan $3.00 $28.00 $28.00 $44.00
Delta Dental Enhanced Plan $9.00 $46.00 $46.00 $73.00

Vision Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Vision Service Plan Basic Plan $4.00 $8.00 $8.00 $12.00
Vision Service Plan Enhanced Plan $16.00 $32.00 $30.00 $46.00

*Only available for employees working in San Diego or Imperial counties in California.

Questions?
To contact a benefits representative or find answers to your questions, visit My HR at
atoz.amazon.work/m/myhr and select My Benefits, or scan the QR code
2024 Costs for Coverage
Use this document for a cost overview of Medical, Dental, and Vision benefits you're eligible for.
Rates are per paycheck and based on your pay frequency and employment status.

Paycheck frequency: Biweekly


Employment status: Full-Time

Medical Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Cigna In-Network Only Basic Plan $15.23 $103.85 $84.92 $172.62
Cigna In-Network Only Enhanced Plan $35.54 $156.00 $129.69 $237.69
Shared Deductible Plan $34.62 $148.15 $123.69 $236.31
Standard Plan $49.85 $177.69 $138.92 $261.69
Health Savings Plan $25.38 $129.69 $107.08 $210.46
Kaiser HMO (CA, CO, DC, MD, VA, WA) $54.92 $177.23 $156.46 $261.23
SIMNSA Mexico Care Plan (So Cal.) $15.23 $50.77 $63.69 $89.08

Dental Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Delta Dental Basic Plan $1.38 $12.92 $12.92 $20.31
Delta Dental Enhanced Plan $4.15 $21.23 $21.23 $33.69

Vision Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Vision Service Plan Basic Plan $1.85 $3.69 $3.69 $5.54
Vision Service Plan Enhanced Plan $7.38 $14.77 $13.85 $21.23

*Only available for employees working in San Diego or Imperial counties in California.

Questions?
To contact a benefits representative or find answers to your questions, visit My HR at
atoz.amazon.work/m/myhr and select My Benefits, or scan the QR code
2024 Costs for Coverage
Use this document for a cost overview of Medical, Dental, and Vision benefits you're eligible for.
Rates are per paycheck and based on your pay frequency and employment status.

Paycheck frequency: Weekly


Employment status: Full-Time

Medical Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Cigna In-Network Only Basic Plan $7.62 $51.92 $42.46 $86.31
Cigna In-Network Only Enhanced Plan $17.77 $78.00 $64.85 $118.85
Shared Deductible Plan $17.31 $74.08 $61.85 $118.15
Standard Plan $24.92 $88.85 $69.46 $130.85
Health Savings Plan $12.69 $64.85 $53.54 $105.23
Kaiser HMO (CA, CO, DC, MD, VA, WA) $27.46 $88.62 $78.23 $130.62
SIMNSA Mexico Care Plan (So Cal.) $7.62 $25.38 $31.85 $44.54

Dental Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Delta Dental Basic Plan $0.69 $6.46 $6.46 $10.15
Delta Dental Enhanced Plan $2.08 $10.62 $10.62 $16.85

Vision Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Vision Service Plan Basic Plan $0.92 $1.85 $1.85 $2.77
Vision Service Plan Enhanced Plan $3.69 $7.38 $6.92 $10.62

*Only available for employees working in San Diego or Imperial counties in California.

Questions?
To contact a benefits representative or find answers to your questions, visit My HR at
atoz.amazon.work/m/myhr and select My Benefits, or scan the QR code
2024 Costs for Coverage
Use this document for a cost overview of Medical, Dental, and Vision benefits you're eligible for.
Rates are per paycheck and based on your pay frequency and employment status.

Paycheck frequency: Monthly


Employment status: Part-Time

Medical Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Cigna In-Network Only Basic Plan $49.50 $337.50 $276.00 $561.00
Cigna In-Network Only Enhanced Plan $115.50 $507.00 $421.50 $772.50
Shared Deductible Plan $112.50 $481.50 $402.00 $768.00
Standard Plan $162.00 $577.50 $451.50 $850.50
Health Savings Plan $82.50 $421.50 $348.00 $684.00
Kaiser HMO (CA, CO, DC, MD, VA, WA) $178.50 $576.00 $508.50 $849.00
SIMNSA Mexico Care Plan (So Cal.) $49.50 $165.00 $207.00 $289.50

Dental Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Delta Dental Basic Plan $4.50 $42.00 $42.00 $66.00
Delta Dental Enhanced Plan $13.50 $69.00 $69.00 $109.50

Vision Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Vision Service Plan Basic Plan $6.00 $12.00 $10.00 $16.00
Vision Service Plan Enhanced Plan $17.00 $34.00 $32.00 $47.00

*Only available for employees working in San Diego or Imperial counties in California.

Questions?
To contact a benefits representative or find answers to your questions, visit My HR at
atoz.amazon.work/m/myhr and select My Benefits, or scan the QR code
2024 Costs for Coverage
Use this document for a cost overview of Medical, Dental, and Vision benefits you're eligible for.
Rates are per paycheck and based on your pay frequency and employment status.

Paycheck frequency: Biweekly


Employment status: Part-Time

Medical Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Cigna In-Network Only Basic Plan $22.85 $155.77 $127.38 $258.92
Cigna In-Network Only Enhanced Plan $53.31 $234.00 $194.54 $356.54
Shared Deductible Plan $51.92 $222.23 $185.54 $354.46
Standard Plan $74.77 $266.54 $208.38 $392.54
Health Savings Plan $38.08 $194.54 $160.62 $315.69
Kaiser HMO (CA, CO, DC, MD, VA, WA) $82.38 $265.85 $234.69 $391.85
SIMNSA Mexico Care Plan (So Cal.) $22.85 $76.15 $95.54 $133.62

Dental Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Delta Dental Basic Plan $2.08 $19.38 $19.38 $30.46
Delta Dental Enhanced Plan $6.23 $31.85 $31.85 $50.54

Vision Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Vision Service Plan Basic Plan $2.77 $5.54 $4.62 $7.38
Vision Service Plan Enhanced Plan $7.85 $15.69 $14.77 $21.69

*Only available for employees working in San Diego or Imperial counties in California.

Questions?
To contact a benefits representative or find answers to your questions, visit My HR at
atoz.amazon.work/m/myhr and select My Benefits, or scan the QR code
2024 Costs for Coverage
Use this document for a cost overview of Medical, Dental, and Vision benefits you're eligible for.
Rates are per paycheck and based on your pay frequency and employment status.

Paycheck frequency: Weekly


Employment status: Part-Time

Medical Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Cigna In-Network Only Basic Plan $11.42 $77.88 $63.69 $129.46
Cigna In-Network Only Enhanced Plan $26.65 $117.00 $97.27 $178.27
Shared Deductible Plan $25.96 $111.12 $92.77 $177.23
Standard Plan $37.38 $133.27 $104.19 $196.27
Health Savings Plan $19.04 $97.27 $80.31 $157.85
Kaiser HMO (CA, CO, DC, MD, VA, WA) $41.19 $132.92 $117.35 $195.92
SIMNSA Mexico Care Plan (So Cal.) $11.42 $38.08 $47.77 $66.81

Dental Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Delta Dental Basic Plan $1.04 $9.69 $9.69 $15.23
Delta Dental Enhanced Plan $3.12 $15.92 $15.92 $25.27

Vision Insurance

Plan You Only You & Spouse/ You & You &
Domestic Partner Child(ren) Family
Vision Service Plan Basic Plan $1.38 $2.77 $2.31 $3.69
Vision Service Plan Enhanced Plan $3.92 $7.85 $7.38 $10.85

*Only available for employees working in San Diego or Imperial counties in California.

Questions?
To contact a benefits representative or find answers to your questions, visit My HR at
atoz.amazon.work/m/myhr and select My Benefits, or scan the QR code

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