Contribution Rates

This page contains all contribution rates for FirstCall benefits requiring an employee contribution to pay premiums. While most contribution rates are shown per weekly pay period (52 per year), some rates are shown as monthly. Refer for Paycom for weekly payroll impact.

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Medical & Rx
Dental & Vision
Life / AD&D
Disability
Voluntary
Additional

Medical & Prescription

Blue Cross Blue Shield of Texas | Rates Per Weekly Pay Period (52 Per Year)
PPO Base
PPO Mid
PPO Buy-Up
Employee Only
$0.00
$45.65
$68.90
EE & Spouse
$104.15
$171.09
$222.14
EE & Child(ren)
$55.02
$101.94
$134.76
EE & Family
$111.46
$211.22
$263.07

Dental

Unum | Rates Per Weekly Pay Period (52 Per Year)
Low Plan
High Plan
Employee Only
$0.00
$1.08
EE & Spouse
$5.97
$8.28
EE & Child(ren)
$6.93
$14.80
EE & Family
$15.22
$24.01

Vision

Unum | Rates Per Weekly Pay Period (52 Per Year)
EyeMed
Employee Only
$1.32
EE & Spouse
$2.77
EE & Child(ren)
$3.20
EE & Family
$5.20

Voluntary Life / AD&D

Unum | Rates Per Month (12 Per Year)

Employee Voluntary Life

Age
Monthly Rate Per $1,000
<30
$0.144
30-34
$0.158
35-39
$0.236
40-44
$0.383
45-49
$0.589
50-54
$0.961
55-59
$1.509
60-64
$2.094
65-69
$3.866
70+
$6.304

Spouse Voluntary Life

Age
Monthly Rate Per $1,000
<30
$0.144
30-34
$0.158
35-39
$0.236
40-44
$0.383
45-49
$0.589
50-54
$0.961
55-59
$1.509
60-64
$2.094
65-69
$3.866
70+
$6.304

Child Voluntary Life

Age
Monthly Rate Per $1,000
0-26
$0.200

Voluntary AD&D

Monthly Rate Per $1,000
Employee
$0.039
Spouse
$0.039
Child
$0.039

Long-Term Disability

Unum | Rates Per Month (12 Per Year)
Age
Monthly Rate Per $100
<25
$0.250
25-29
$0.240
30-34
$0.380
35-39
$0.570
40-44
$0.810
45-49
$1.300
50-54
$1.388
55-59
$1.770
60-64
$1.720
65-69
$1.450
70+
$0.720

Voluntary Benefits

Unum | Rates Per Month (12 Per Year)

Employee Critical Illness

Age
Monthly Rate Per $1,000
<25
$0.250
25-29
$0.320
30-34
$0.490
35-39
$0.590
40-44
$0.810
45-49
$1.150
50-54
$1.730
55-59
$2.460
60-64
$3.630
65-69
$5.150
70+
$7.430

Spouse Critical Illness

Age
Monthly Rate Per $1,000
<25
$0.250
25-29
$0.320
30-34
$0.490
35-39
$0.590
40-44
$0.810
45-49
$1.150
50-54
$1.730
55-59
$2.460
60-64
$3.630
65-69
$5.150
70+
$7.430

Child Critical Illness

Age
Monthly Rate Per $1,000
0-26
Same Rate as Employee

Accident Insurance

Monthly Rate
Employee Only
$8.33
EE & Spouse
$13.40
EE & Child(ren)
$13.67
EE & Family
$18.74

Wellness Benefit

$50 per benefit year

Your Accident and Critical Illness Insurance policies each include a $50 Wellness Benefit offer, which will pay you and covered family members an annual benefit if you complete an eligible health assessment/screening. These screenings may include a mammogram, colonoscopy, electrocardiogram (EKG/ECG), stress test, or blood chemistry profile. View the policy documentation for details. If you're enrolled in both plans, you will be able to get paid twice!

Be Well Incentive (EN)
Be Well Incentive (SP)

Additional Benefits

LegalShield

LegalShield | Rates Per Weekly Pay Period (52 Per Year)
Rate Per Pay Period
Employee Only
$7.36
EE & Family
$8.97

Gun Owners Supplement

LegalShield | Rates Per Weekly Pay Period (52 Per Year)
Rate Per Pay Period
All Tiers
$2.99

Questions?

Call the Care Line at (877) 835-1361.

Care Line is an NFP-sponsored program that is staffed by dedicated professionals to help you understand the benefit options made available to you. Whether you have concerns about a recent claim or bill, finding an in-network doctor or just some guidance on which medical plan is right for you and your family, the Care Line can help educate and advocate.

The Care Line is open Monday through Friday from 9:00 am - 6:00 pm ET.

For questions related to your benefits (enrollment, coverage, etc.), our Benefits Concierge team is here to help, email dbbenadmin@nfp.com.

For any claims-related issues, please reach out to our dedicated Claims Specialists, email csclaims@nfp.com.

FirstCall Benefits Team

Our very own internal Benefits Team is at your disposal. If you have any questions about your benefits, need help understanding eligibility or the enrollment process, or experience a qualifying life event, please contact us at benefits@firstcallmechanical.com.

Manage your benefits in Paycom.

Go to Paycom

NOTE: In the event there is any discrepancy between the descriptions of the program elements contained within this Digital Benefits Guide and the official plan documents, the language of the official plan documents shall prevail. Please refer to the plan-specific documents published by each of the respective carriers or third-party administrators for detailed plan information. You should be aware that any and all elements of our Benefits Program may be modified in the future to meet Internal Revenue Service rules, or otherwise as determined by FirstCall Group.