Your Costs | Rivian Benefits

This page shows the amount you’ll pay for your benefits each pay period, based on 26 pay periods per year.

2023 medical 2024 medical Dental Vision Supplemental life insurance Supplemental AD&D insurance Accident insurance Critical illness insurance Long-term disability LegalShield and IDShield

2023 medical

Cost per pay period

Employee only

Plan	Full time	Part time
Blue Shield PPO HSA 3500	$0.00	$66.69
Blue Shield PPO HSA 1500	$12.77	$100.90
Blue Shield PPO 500	$26.06	$136.22
Blue Shield PPO HSA 6350 (interns)	$66.70
Kaiser HMO 500 (California)	$20.46	$90.95

Employee + spouse/domestic partner

Plan	Full time	Part time
Blue Shield PPO HSA 3500	$18.34	$146.71
Blue Shield PPO HSA 1500	$45.04	$221.99
Blue Shield PPO 500	$120.90	$299.69
Blue Shield PPO HSA 6350 (interns)	$267.85
Kaiser HMO 500 (California)	$81.17	$190.99

Employee + child(ren)

Plan	Full time	Part time
Blue Shield PPO HSA 3500	$15.00	$120.04
Blue Shield PPO HSA 1500	$39.05	$181.62
Blue Shield PPO 500	$81.65	$245.20
Blue Shield PPO HSA 6350 (interns)	$267.85
Kaiser HMO 500 (California)	$65.71	$154.61

Employee + family

Plan	Full time	Part time
Blue Shield PPO HSA 3500	$55.02	$200.07
Blue Shield PPO HSA 1500	$112.53	$302.71
Blue Shield PPO 500	$154.61	$408.66
Blue Shield PPO HSA 6350 (interns)	$354.06
Kaiser HMO 500 (California)	$131.87	$263.75

2024 medical

Cost per pay period

Employee only

Plan	Full time	Part time
BSC PPO HSA 3500	$0.00	$77.78
BSC PPO HSA 1600	$14.04	$117.69
BSC PPO 1000	$28.67	$158.89
BSC PPO HSA 6350 (interns)	$73.37	N/A
Kaiser 1000 (California)	$22.51	$90.00

Employee + spouse or domestic partner

Plan	Full time	Part time
BSC PPO HSA 3500	$20.17	$171.12
BSC PPO HSA 1600	$49.54	$258.92
BSC PPO 1000	$132.99	$349.55
BSC PPO HSA 6350 (interns)	$294.63	N/A
Kaiser 1000 (California)	$89.29	$188.99

Employee + child(ren)

Plan	Full time	Part time
BSC PPO HSA 3500	$16.50	$140.01
BSC PPO HSA 1600	$42.96	$211.84
BSC PPO 1000	$89.82	$285.99
BSC PPO HSA 6350 (interns)	$294.63	N/A
Kaiser 1000 (California)	$72.28	$152.99

Employee + family

Plan	Full time	Part time
BSC PPO HSA 3500	$60.52	$233.35
BSC PPO HSA 1600	$123.78	$353.07
BSC PPO 1000	$170.07	$476.66
BSC PPO HSA 6350 (interns)	$389.46	N/A
Kaiser HMO 1000 (California)	$145.06	$211.14

Dental

2023 Delta Dental cost per pay period

Coverage level	Full time	Part time
Employee only	$0	$9.67
Employee + spouse or domestic partner	$17.02	$21.28
Employee + child(ren)	$13.93	$17.41
Employee + family	$23.21	$29.02

2024 Delta Dental cost per pay period

Coverage level	Full time	Part time
Employee only	$0	$10.06
Employee + spouse or domestic partner	$18.72	$22.14
Employee + child(ren)	$15.32	$18.11
Employee + family	$25.53	$30.18

Vision

2023 EyeMed cost per pay period

Coverage level	Full time	Part time
Employee only	$0	$2.52
Employee + spouse or domestic partner	$4.43	$5.53
Employee + child(ren)	$3.62	$4.53
Employee + family	$6.04	$7.55

2024 EyeMed cost per pay period

Coverage level	Full time	Part time
Employee only	$0	$2.40
Employee + spouse or domestic partner	$4.87	$5.28
Employee + child(ren)	$3.98	$4.32
Employee + family	$6.64	$7.20

2023 VSP cost per pay period

Coverage level	Full time	Part time
Employee only	$1.67	$3.63
Employee + spouse or domestic partner	$6.87	$7.99
Employee + child(ren)	$5.62	$6.54
Employee + family	$9.37	$10.89

2024 VSP cost per pay period

Coverage level	Full time	Part time
Employee only	$1.84	$3.46
Employee + spouse or domestic partner	$7.56	$7.62
Employee + child(ren)	$6.18	$6.24
Employee + family	$10.31	$10.39

Supplemental life insurance

Cost per pay period (per $1,000 in coverage)

Child life insurance (for any age) is $0.0923 per $1,000 in coverage.

Age	Employee or spouse
< 24	$0.0240
25–29	$0.0277
30–34	$0.0323
35–39	$0.0369
40–44	$0.0554
45–49	$0.0692
50–54	$0.1472
55–59	$0.2677
60–64	$0.3923
65–69	$0.7846
70–74	$1.2462
75+	$2.4462

Supplemental AD&D insurance

Cost per pay period (per $1,000 in coverage)

Employee	$0.01385
Spouse	$0.01385

Accident insurance

Cost per pay period

Coverage level	Base	Premier
Employee only	$1.86	$3.25
Employee + spouse or domestic partner	$3.22	$5.54
Employee + child(ren)	$3.93	$6.55
Employee + family	$5.30	$8.86

Critical illness insurance

Cost per pay period

Child coverage is included with employee coverage.

$10,000 employee coverage, $5,000 spouse/domestic partner coverage

Age	Employee	Spouse/domestic partner
<25	$1.36	$1.08
25–29	$1.55	$1.18
30–34	$1.96	$1.38
35–39	$2.33	$1.57
40–44	$3.02	$1.92
45–49	$3.67	$2.24
50–54	$5.28	$3.05
55–59	$6.85	$3.83
60–64	$9.35	$5.08
65-69	$13.04	$6.92
70-74	$19.04	$9.92
75-79	$25.59	$13.20
80-84	$30.39	$15.60
85+	$44.10	$22.45

$20,000 employee coverage, $10,000 spouse/domestic partner coverage

Age	Employee	Spouse/domestic partner
<25	$1.92	$1.36
25–29	$2.28	$1.55
30–34	$3.12	$1.96
35–39	$3.85	$2.33
40–44	$5.24	$3.02
45–49	$6.53	$3.67
50–54	$9.76	$5.28
55–59	$12.90	$6.85
60–64	$17.88	$9.35
65-69	$25.27	$13.04
70-74	$37.27	$19.04
75-79	$50.38	$25.59
80-84	$59.98	$30.39
85+	$87.39	$44.10

$30,000 employee coverage, $15,000 spouse/domestic partner coverage

Age	Employee	Spouse/domestic partner
<25	$2.47	$1.64
25–29	$3.02	$1.92
30–34	$4.27	$2.54
35–39	$5.38	$3.09
40–44	$7.45	$4.13
45–49	$9.39	$5.10
50–54	$14.24	$7.52
55–59	$18.95	$9.88
60–64	$26.42	$13.62
65-69	$37.50	$19.15
70-74	$55.50	$28.15
75-79	$75.16	$37.98
80-84	$89.56	$45.18
85+	$130.68	$65.75

Long-term disability

Cost per pay period

Core LTD (60% income replacement): $0

Buy-up LTD (70% income replacement): $0.102 per $100 of covered pay

LegalShield and IDShield

Cost per pay period

	Employee only	Employee + family
LegalShield	$7.65	$14.45
IDShield	$4.13	$7.82
LegalShield + IDShield	$11.15	$16.50