BNY Mellon Benefits Guide
2018 Medical Contributions
The rates shown in the table below are 2018 semi-monthly health plan contribution amounts. This is the amount that will be withheld from each paycheck for eligible full-time and part-time employees, based on annual base pay. This amount includes the $400 health plan premium reduction that newly eligible employees (or $800 if covering an eligible spouse/domestic partner) automatically earn during the first year of coverage. (Your base pay for the 2018 plan year is determined as of September 1, 2017, for existing employees or as of your date of hire, if later.) To verify your contribution rate after enrollment, go to MyBenefit Solutions. At work: MySource > MyReward > Log on to MyReward > Proceed to My Personal Total Reward Data > MyBenefit Solutions. From home:
http://mybenefits.bnymellon.com.
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2018 SEMI-MONTHLY EMPLOYEE CONTRIBUTIONS
(THE AMOUNT BELOW WILL BE WITHHELD FROM EACH PAYCHECK)
(Figures assume employee/spouse/domestic partner wellbeing premium reduction was earned)
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PLAN HRA
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PLAN HSA
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PREFERRED CARRIER RATE
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NON- PREFERRED CARRIER RATE
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PREFERRED CARRIER RATE
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NON- PREFERRED CARRIER RATE
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KAISER PLAN
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AETNA INTER-NATIONAL*
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Under $30,000
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Employee
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$32.00
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$36.00
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$9.50
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$10.50
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$32.50
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$34.50
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Employee + Child(ren)
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$66.00
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$74.50
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$19.50
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$21.50
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$67.00
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$71.50
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Employee + Spouse/Domestic Partner
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$78.00
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$87.50
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$23.00
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$25.50
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$79.00
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$84.00
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Employee + Family
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$117.50
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$132.00
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$35.00
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$38.50
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$119.00
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$126.50
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$30,000 - $39,999
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Employee
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$50.00
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$56.00
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$17.00
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$19.00
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$54.00
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$56.00
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Employee + Child(ren)
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$103.50
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$115.50
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$35.00
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$39.50
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$111.50
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$115.50
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Employee + Spouse/Domestic Partner
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$121.50
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$136.50
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$41.50
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$46.00
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$131.50
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$136.50
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Employee + Family
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$183.50
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$205.50
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$62.50
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$69.50
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$198.00
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$205.50
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$40,000 - $49,999
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Employee
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$58.50
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$65.50
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$20.00
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$22.50
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$67.00
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$72.00
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Employee + Child(ren)
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$121.00
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$135.50
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$41.50
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$46.50
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$138.50
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$149.00
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Employee + Spouse/Domestic Partner
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$142.50
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$159.50
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$48.50
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$55.00
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$163.00
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$175.00
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Employee + Family
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$214.50
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$240.00
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$73.50
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$82.50
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$245.50
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$264.00
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$50,000 - $79,999
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Employee
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$63.50
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$71.00
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$22.50
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$25.00
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$83.00
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$92.00
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Employee + Child(ren)
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$131.00
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$146.50
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$46.50
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$51.50
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$171.50
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$190.00
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Employee + Spouse/Domestic Partner
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$154.50
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$173.00
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$55.00
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$61.00
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$202.00
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$224.00
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Employee + Family
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$233.00
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$260.50
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$82.50
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$91.50
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$304.50
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$337.50
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$80,000 - $99,999
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Employee
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$74.50
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$83.50
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$28.50
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$32.00
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$101.00
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$97.50
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Employee + Child(ren)
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$154.00
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$172.50
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$59.00
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$66.00
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$208.50
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$201.50
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Employee + Spouse/Domestic Partner
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$181.50
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$203.00
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$69.50
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$78.00
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$246.00
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$237.50
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Employee + Family
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$273.00
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$306.00
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$104.50
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$117.50
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$370.50
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$357.50
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$100,000 - $124,999
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Employee
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$95.00
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$106.50
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$36.50
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$41.00
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$108.50
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$134.00
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Employee + Child(ren)
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$196.50
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$220.00
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$75.50
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$84.50
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$224.00
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$277.00
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Employee + Spouse/Domestic Partner
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$231.00
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$259.00
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$89.00
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$100.00
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$264.00
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$326.00
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Employee + Family
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$348.50
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$390.50
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$134.00
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$150.50
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$398.00
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$491.50
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$125,000 -$149,999
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Employee
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$102.00
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$114.00
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$39.50
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$44.00
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$136.50
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$136.50
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Employee + Child(ren)
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$211.00
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$235.50
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$81.50
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$91.00
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$282.00
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$282.00
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Employee + Spouse/Domestic Partner
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$248.00
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$277.50
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$96.00
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$107.00
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$332.00
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$332.00
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Employee + Family
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$374.00
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$418.00
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$145.00
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$161.50
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$500.50
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$500.50
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$150,000 - $249,999
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Employee
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$113.50
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$127.00
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$44.00
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$49.50
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$142.00
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$156.50
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Employee + Child(ren)
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$234.50
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$262.50
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$91.00
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$102.50
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$293.50
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$323.50
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Employee + Spouse/Domestic Partner
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$276.00
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$309.00
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$107.00
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$120.50
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$345.50
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$381.00
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Employee + Family
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$416.00
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$465.50
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$161.50
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$181.50
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$520.50
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$574.00
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$250,000 and above
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Employee
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$124.50
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$139.50
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$48.00
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$54.00
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$162.50
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$170.00
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Employee + Child(ren)
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$257.50
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$288.50
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$99.00
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$111.50
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$336.00
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$351.50
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Employee + Spouse/Domestic Partner
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$303.00
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$339.50
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$117.00
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$131.50
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$395.50
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$413.50
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Employee + Family
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$456.50
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$511.50
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$176.00
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$198.00
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$596.00
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$623.50
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* Employees who are eligible for and enroll in the Aetna International plan automatically earn the health plan premium reduction.
