Plan premium budgets using clear inputs and sliders. See monthly, annual, and payroll costs instantly. Adjust employer share, discounts, and coverage for accuracy always.
| Scenario | Plan type | Age | Family | Region factor | Employer support | Estimated employee monthly |
|---|---|---|---|---|---|---|
| Individual, average pricing | PPO | 35 | 1 adult | 1.00 | $150.00 | $334.72 |
| Family, higher pricing area | EPO | 45 | 2 adults, 2 children | 1.20 | $300.00 | $873.19 |
| Lower cost plan with discount | HDHP | 29 | 1 adult, 1 child | 0.90 | $100.00 | $189.41 |
Gross Monthly Premium = Base Premium × Plan Factor × Age Factor × Tobacco Factor × Family Factor × Region Factor
Net Before Support = (Gross Monthly Premium − Discount Amount) + Monthly Fees
Employee Monthly Premium = max(0, Net Before Support − Employer Contribution − Subsidy)
Annual Cost = Employee Monthly Premium × Covered Months
Monthly premiums often move more than people expect. A 1.10 plan factor on a $420 base adds $42.00 immediately. Add an age factor of 1.20 and the same base becomes $554.40 before any other adjustment. Small multipliers compound.
This model uses a family factor to scale coverage. One adult is 1.00, a second adult adds 0.85, and each child adds 0.45. For two adults and two children, the factor becomes 2.75. If gross pricing is $600, the same setup can push it near $1,650 before discounts and support.
Discounts reduce premium, but fees may offset savings. An 8% discount on $1,000 saves $80 monthly. If fees are $25, the net reduction is $55. Tracking both values keeps comparisons realistic when evaluating plan changes.
Employer contributions and subsidies are applied after discounts and fees. With a $1,050 net premium and $300 employer help, the employee share falls to $750. Add a $100 credit and the share becomes $650. Over 12 months, that change equals $1,200.
Viewing cost per paycheck improves cash flow planning. A $650 monthly premium is about $300 per biweekly paycheck, prorated. If monthly household income is $4,000, the premium share is 16.25%. Use that percent to set a target range for plan shopping.
No. It is a budgeting model using adjustable factors. For exact pricing, request quotes from insurers or your benefits administrator.
Use a recent premium you paid, an employer rate sheet, or a marketplace estimate. Keep it monthly and before discounts and employer support.
Start with 1.00. Use values above 1.00 for higher-cost areas and below 1.00 for lower-cost areas. Adjust until results resemble local quotes.
It does not change the monthly premium. It only spreads the annual employee cost across an estimated number of paychecks for planning.
They reduce the net premium after discounts and fees. If combined support exceeds net premium, the employee premium is shown as zero.
Yes. Set covered months to the number you expect. Annual totals and paycheck estimates are prorated to reflect shorter coverage periods.
Important Note: All the Calculators listed in this site are for educational purpose only and we do not guarentee the accuracy of results. Please do consult with other sources as well.