Effective January 1, 2026
Your premiums and cost contributions are determined by several factors, including your elected benefits plans, the level of coverage you need, and who you choose to cover.
Your premiums and cost contributions are determined by several factors, including your elected benefits plans, the level of coverage you need, and who you choose to cover.
Keep in mind:
- Medical, dental, and vision costs are deducted on a pre-tax basis each pay period.
- Costs for voluntary benefits below will be deducted on an after-tax basis each pay period.
- Supplemental Life Insurance (Employee, Spouse, Child)
- Long-Term Disability (LTD)
- Accident Insurance
- Critical Illness Insurance
- Prepaid Legal Services
- Unless otherwise indicated, the following plan year 2026 costs do not include any surcharges you and/or your covered spouse may incur.
Per pay period medical premiums for Hourly and Salaried employees are as follows.
Hourly Employees
| Coverage Tier | Green Plan | Blue Plan | Per Pay Period Premium (Weekly) | Per Pay Period Premium (Weekly) |
| Employee Only | $18.00 | $32.77 |
| Employee + Spouse | $51.92 | $81.92 |
| Employee + Child(ren) | $48.46 | $75.46 |
| Employee + Family | $76.15 | $125.08 |
Salaried Employees
| Coverage Tier | Green Plan | Blue Plan | Per Pay Period Premium (Semi-Monthly) | Per Pay Period Premium (Semi-Monthly) |
| Employee Only | $52.50 | $92.00 |
| Employee + Spouse | $140.00 | $220.50 |
| Employee + Child(ren) | $129.00 | $205.50 |
| Employee + Family | $200.50 | $315.50 |
Per pay period dental premiums for Hourly and Salaried employees are as follows.
Hourly Employees
| Coverage Tier | Per Pay Period Premium (Weekly) |
| Employee Only | $6.74 |
| Employee + Spouse | $13.77 |
| Employee + Child(ren) | $14.12 |
| Employee + Family | $22.83 |
Salaried Employees
| Coverage Tier | Per Pay Period Premium (Semi-Monthly) |
| Employee Only | $14.60 |
| Employee + Spouse | $29.84 |
| Employee + Child(ren) | $30.59 |
| Employee + Family | $49.46 |
Per pay period vision premiums for Hourly and Salaried employees are as follows.
Hourly Employees
| Coverage Tier | Per Pay Period Premium (Weekly) |
| Employee Only | $1.95 |
| Employee + Spouse | $2.83 |
| Employee + Child(ren) | $3.42 |
| Employee + Family | $5.15 |
Salaried Employees
| Coverage Tier | Per Pay Period Premium (Semi-Monthly) |
| Employee Only | $4.23 |
| Employee + Spouse | $6.14 |
| Employee + Child(ren) | $7.42 |
| Employee + Family | $11.16 |
The following monthly Supplemental Life premiums apply to both Hourly and Salaried employees.
To view pay period premiums, visit BenefitSource.
To view pay period premiums, visit BenefitSource.
| Employee Age as of January 1, 2026 |
Monthly Premium Per $1,000 of Coverage |
| Under 30 | $0.085 |
| 30 – 34 | $0.105 |
| 35 – 39 | $0.115 |
| 40 – 44 | $0.145 |
| 45 – 49 | $0.215 |
| 50 – 54 | $0.325 |
| 55 – 59 | $0.595 |
| 60 – 64 | $0.915 |
| 65 – 69 | $1.755 |
| 70 – 74 | $2.805 |
| 75+ | $4.475 |
Per pay period Supplemental Life premiums for Hourly and Salaried employees are as follows.
Hourly Employees
| Plan Option | Max Coverage Amount | Per Pay Period Premium(Weekly) |
| High | Spouse – $20,000
Per Child – $10,000 |
$1.57 |
| Low | Spouse – $10,000 Per Child – $5,000 |
$0.78 |
Salaried Employees
| Plan Option | Max Coverage Amount | Per Pay Period Premium(Semi-Monthly) |
| High | Spouse – $20,000
Per Child – $10,000 |
$3.40 |
| Low | Spouse – $10,000 Per Child – $5,000 |
$1.70 |
The following monthly LTD premiums apply to both Hourly and Salaried employees.
To view pay period premiums, visit BenefitSource.
To view pay period premiums, visit BenefitSource.
Hourly Employees
| Plan Option | Monthly Premium Per $100 of Coverage |
| Long-Term Disability Rate | $0.610 |
Salaried Employees
| Plan Option | Monthly Premium Per $100 of Coverage |
| Long-Term Disability Rate | $0.515 |
Per pay period Accident Insurance premiums for Hourly and Salaried employees are as follows.
Hourly Employees
| Coverage Tier | Per Pay Period Premium(Weekly) |
| Employee Only | $1.19 |
| Employee + Spouse | $2.02 |
| Employee + Child(ren) | $2.38 |
| Employee + Family | $3.21 |
Salaried Employees
| Coverage Tier | Per Pay Period Premium(Semi-Monthly) |
| Employee Only | $2.57 |
| Employee + Spouse | $4.38 |
| Employee + Child(ren) | $5.15 |
| Employee + Family | $6.96 |
The following monthly Critical Illness Insurance premiums apply to both Hourly and Salaried employees.
To view pay period premiums, visit BenefitSource.
To view pay period premiums, visit BenefitSource.
Employee and/or Spouse
| Employee/Spouse Age as of January 1, 2026 |
Employee Monthly Premium Per $1,000 of Coverage |
Spouse Monthly Premium Per $1,000 of Coverage |
| Under 25 | $0.54 | $0.54 |
| 25 – 29 | $0.56 | $0.56 |
| 30 – 34 | $0.58 | $0.58 |
| 35 – 39 | $0.64 | $0.64 |
| 40 – 44 | $0.83 | $0.83 |
| 45 – 49 | $1.15 | $1.15 |
| 50 – 54 | $1.66 | $1.66 |
| 55 – 59 | $2.44 | $2.44 |
| 60 – 64 | $3.18 | $3.18 |
| 65 – 69 | $3.92 | $3.92 |
| 70+ | $5.02 | $5.02 |
Child(ren) Coverage
| Child(ren) Coverage Amount (eligible up to age 26) |
Monthly Premium | |
| $2,500 | $1.63 | |
| $5,000 | $3.25 | |
| $10,000 | $6.50 | |
| $15,000 | $9.75 | |
Per pay period LegalShield premiums for Hourly and Salaried employees are as follows.
Hourly Employee
| Plan Option | Per Pay Period Premium(Weekly) |
| LegalShield | $3.23 |
Salaried Employee
| Plan Option | Per Pay Period Premium(Semi-Monthly) |
| LegalShield | $7.00 |
Whether you enroll in the Green Plan or Blue Plan, you MUST complete these mandatory steps each year to avoid extra charges and maximize savings:
Certify Working Spouse Status
A $100 monthly Working Spouse surcharge will apply if you enroll a working spouse who is offered health coverage through their employer. If this does not apply and you wish to avoid the surcharge, answer “No” on the Working Spouse Status question in BenefitSource during Open Enrollment every year. NOTE: If your status changes, call (800) 284-4549 and submit a Working Spouse Status affidavit.Confirm Tobacco Use
A $150 per person monthly Tobacco Use surcharge will apply if you and/or your covered spouse uses tobacco and enrolls in a Lennox medical plan. If this does not apply and you wish to avoid the surcharge, answer “No” on the Tobacco Use question in BenefitSource during Open Enrollment every year. NOTE: If you/your spouse’s status changes during the year, call (800) 284-4549 and submit a Tobacco Use affidavit.Complete an Annual Health Screening
A $75 per person monthly Wellness surcharge will apply if you and/or your covered spouse do not complete an annual health screening every year, and meet or improve 3 out of 5 measured health metrics by the next set deadline. To avoid this surcharge, visit LIIveWell for the latest information and deadlines. First time users will have to register. NOTE: In the case of a medical condition or pregnancy, a screening waiver can be submitted.Monthly Surcharge Overview
In the event that you do not comply with one or more of the above actions, you and/or your covered spouse will be charged the extra monthly surcharges as outlined below:| Monthly Surcharge | Employee | Covered Spouse |
| Working Spouse Status* | N/A | $100 |
| If Using Tobacco Products* | $150 | $150 |
| If You Fail to Complete an Annual Health Screening or Do Not Meet or Improve 3 of the 5 Measured Health Metrics** | $75 | $75 |
* If you or your covered spouse’s status changes during the year, you can submit an affidavit through BenefitSource.
** If you and/or your covered legal spouse are unable to complete the requirements due to a medical condition, your physician can fill and sign the Medical Waiver form. The completed form(s) can be submitted via email, fax, or directly uploaded into your LIIveWell account.
** If you or your spouse are pregnant, you do NOT need to complete a health screening. Instead, you must complete and submit the Pregnancy Waiver form via email, fax, or directly uploaded into your LIIveWell account.
** If you and/or your covered legal spouse are unable to complete the requirements due to a medical condition, your physician can fill and sign the Medical Waiver form. The completed form(s) can be submitted via email, fax, or directly uploaded into your LIIveWell account.
** If you or your spouse are pregnant, you do NOT need to complete a health screening. Instead, you must complete and submit the Pregnancy Waiver form via email, fax, or directly uploaded into your LIIveWell account.