Rates and fees

Monthly medical, dental and vision costs

Employee only Employee + child(ren)/domestic partner child(ren) Employee + spouse/domestic partner Employee + family
Medical*
Core CDHP + HSA $11.03 $55.89 $61.75 $92.51
Buy-up CDHP + HSA $51.08 $131.96 $145.83 $218.62
Core PPO $123.09 $268.74 $297.03 $445.53
Dental
Core $7.24 $17.88 $19.76 $29.64
Buy-up $13.57 $29.34 $33.18 $49.03
Vision
$6.97 $13.94 $13.24 $20.49

Fees

Schneider Electric self-insures its medical plan options. This means after you pay your share of the cost for coverage and services, the Company pays the remaining cost of medical claims for you and your family. As a participant in our plans, you have a direct impact on the overall cost of medical expenses. In an effort to help contain these costs, the following fees may apply depending on your responses (or lack of response) during your benefit enrollment:*

* If you’re a current employee and you don’t change your response during Annual Enrollment, your responses will automatically carry forward to the next calendar year.

Life and AD&D monthly costs

Basic Life Insurance — imputed income

If your Basic Life Insurance coverage is more than $50,000, you will owe taxes on the value of your coverage over $50,000. This value is called imputed income. IRS regulations require the Company to report employee federal wages and deduct Social Security taxes (FICA) on imputed income from your paycheck and report it on your W-2 each year.

Under IRS regulations, imputed income is based on your age and the monthly cost per $1,000 of life insurance over $50,000. To determine your monthly amount of imputed income, multiply the rate in the following IRS table by the amount of your insurance coverage over $50,000 divided by $1,000.

IRS Table — Monthly cost of $1,000 of insurance
Employee’s age IRS rate
Under 25 $0.05
25 – 29 $0.06
30 – 34 $0.08
35 – 39 $0.09
40 – 44 $0.10
45 – 49 $0.15
50 – 54 $0.23
55 – 59 $0.43
60 – 64 $0.66
65 – 69 $1.27
70 and over $2.06

Imputed income example

Supplemental AD&D Insurance

The monthly rate for Supplemental AD&D Insurance is $0.019 for every $1,000 of coverage you elect.

Supplemental Life and Spouse Life Insurance

Monthly rate per $1,000 of coverage:

Employee/spouse age Employee rates Spouse rates
Non tobacco-user rate Tobacco-user rate Non tobacco-user rate Tobacco-user rate
Under 25 $0.026 $0.039 $0.027 $0.040
25 – 29 $0.031 $0.047 $0.036 $0.053
30 – 34 $0.042 $0.062 $0.045 $0.067
35 – 39 $0.046 $0.074 $0.052 $0.084
40 – 44 $0.049 $0.087 $0.067 $0.118
45 – 49 $0.081 $0.132 $0.109 $0.191
50 – 54 $0.123 $0.203 $0.162 $0.312
55 – 59 $0.217 $0.360 $0.258 $0.429
60 – 64 $0.360 $0.561 $0.440 $0.685
65 – 69 $0.662 $0.985 $0.757 $1.122
70 and over $1.206 $1.815 $1.800 $2.600

Child Life Insurance

Coverage level Weekly cost Semi-monthly cost
$5,000 $0.10 $0.23
$10,000 $0.21 $0.45

Disability monthly costs

Short-term disability

Your options STD coverage levels Cost per $100 of monthly base pay
Company-paid 100% of your base pay for 4 weeks, 60% of your base pay thereafter $0.00
Buy-up* 100% of your base pay for 4 weeks, 70% of your base pay thereafter $0.033

* Due to state law, employees who work in New Jersey will automatically receive the STD Buy-up coverage level Company-paid. If you work in New Jersey, your option will be reflected on se-benefitslink.com.

Long-term disability

Your options LTD coverage levels Cost per $100 of monthly base pay
Company-paid 50% of your base pay $0.00
Buy-up 60% of your base pay $0.105

Legal services plan

The cost for coverage is $16.50 per month.

Get rewarded for your healthy habits.

Available to you and your spouse (if they’re covered on a Schneider Electric medical plan), Virgin Pulse can help you prioritize well-being goals and activities each day.

  • Healthy habits: Select healthy habits you want to focus on and track your progress.
  • Challenges: Work toward your goals in a fun, competitive atmosphere by joining corporate challenges. You can even challenge yourself – or your friends – to live a healthier life by creating your own personal challenges.
  • Activity tracking: Tracking activities through Virgin Pulse – like steps, workouts and sleep – helps you visualize your progress and earn rewards! Track easily by syncing on your phone or on your activity tracker, or enter your activities manually.
  • Reach your goals: Get help to stay focused on achieving specific health goals with resources like sleep and nutrition guides as well as personal health coaches.
  • So much more: Get more fuel for your daily well-being goals by exploring everything Virgin Pulse has to offer, including Journeys, virtual fitness and mindfulness sessions and more!

Hear how Kara Greer uses the workout reminders from Virgin Pulse.