**AE-Standard-Medical-Rates ******A
Confidential – Internal Use Only ©2022 Walmar! Inc. 1
Premier Plan
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $33.00 $66.00 –
Associate + spouse/par!ner $167.00 $200.00 $233.00 Associate + child(ren) $52.90 $85.90 –
Associate + family $195.90 $228.90 $261.90
Saver Plan
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $36.80 $73.60 –
Associate + spouse/par!ner $174.80 $211.60 $248.40 Associate + child(ren) $57.80 $94.60 –
Associate + family $201.80 $238.60 $275.40
Contribution Plan
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $93.30 $186.60 –
Associate + spouse/par!ner $315.60 $408.90 $502.20 Associate + child(ren) $131.60 $224.90 –
Associate + family $338.00 $431.30 $524.60
Local Plans available in select locations
Medical plans available in most locations
Banner: Arizona
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $26.90 $53.80 –
Associate + spouse/par!ner $148.90 $175.80 $202.70 Associate + child(ren) $44.10 $71.00 –
Associate + family $174.50 $201.40 $228.30
Mercy Arkansas: NW Arkansas
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $53.00 $106.00 –
Associate + spouse/par!ner $221.20 $274.20 $327.20 Associate + child(ren) $82.90 $135.90 –
Associate + family $261.60 $314.60 $367.60
2023 Benefits rates
23AE-Standard-Medical-Rates 111422A 2
Confidential – Internal Use Only ©2022 Walmar! Inc. Health Net ExcelCare
High Option: California
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $59.70 $119.40 –
Associate + spouse/par!ner $244.80 $304.50 $364.20 Associate + child(ren) $122.50 $182.20 –
Associate + family $286.60 $346.30 $406.00
Health Net Salud Y Mas:
California
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $56.30 $112.60 –
Associate + spouse/par!ner $226.70 $283.00 $339.30 Associate + child(ren) $79.60 $135.90 –
Associate + family $265.70 $322.00 $378.30
Kaiser California
High Option:
Nor!h and South
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $60.40 $120.80 –
Associate + spouse/par!ner $249.00 $309.40 $369.80 Associate + child(ren) $97.90 $158.30 –
Associate + family $295.00 $355.40 $415.80
Kaiser California
Low Option:
Nor!h and South
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $36.70 $73.40 –
Associate + spouse/par!ner $141.30 $178.00 $214.70 Associate + child(ren) $54.50 $91.20 –
Associate + family $160.90 $197.60 $234.30
Kaiser of Colorado
Low Option
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $47.90 $95.80 –
Associate + spouse/par!ner $181.00 $228.90 $276.80 Associate + child(ren) $70.20 $118.10 –
Associate + family $208.40 $256.30 $304.20
Health Net ExcelCare
Low Option: California
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $39.00 $78.00 –
Associate + spouse/par!ner $169.20 $208.20 $247.20 Associate + child(ren) $77.90 $116.90 –
Associate + family $198.70 $237.70 $276.70
Geisinger Extra Health
Plan: Pennsylvania
Geisinger Extra Health
Plan: eastern region
Pennsylvania
Geisinger Health Plan:
Pennsylvania
Geisinger Health
Plan: eastern region
Pennsylvania
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $80.60 $161.20 –
Associate + spouse/par!ner $289.20 $369.80 $450.40 Associate + child(ren) $120.10 $200.70 –
Associate + family $354.60 $435.20 $515.80
HMO Plans available in select locations
Kaiser of Georgia
Low Option
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $45.30 $90.60 –
Associate + spouse/par!ner $199.50 $244.80 $290.10 Associate + child(ren) $67.60 $112.90 –
Associate + family $234.00 $279.30 $324.60
23AE-Standard-Medical-Rates 111422A 3
Confidential – Internal Use Only ©2022 Walmar! Inc. Kaiser of the Mid-Atlantic
Low Option: Maryland
Kaiser of the Mid-Atlantic
Low Option: Virginia
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $63.80 $127.60 –
Associate + spouse/par!ner $203.40 $267.20 $331.00 Associate + child(ren) $86.40 $150.20 –
Associate + family $242.50 $306.30 $370.10
Kaiser of Oregon
High Option
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $65.90 $131.80 –
Associate + spouse/par!ner $259.20 $325.10 $391.00 Associate + child(ren) $96.60 $162.50 –
Associate + family $311.60 $377.50 $443.40
Kaiser of Washington state
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $29.50 $59.00 –
Associate + spouse/par!ner $141.70 $171.20 $200.70 Associate + child(ren) $44.50 $74.00 –
Associate + family $170.30 $199.80 $229.30
Kaiser of Oregon
Low Option
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $51.40 $102.80 –
Associate + spouse/par!ner $195.30 $246.70 $298.10 Associate + child(ren) $71.70 $123.10 –
Associate + family $234.50 $285.90 $337.30
HMO Plans (cont.)
PPO Plan
Plans for U.S.-based Global Tech associates
Available in select locations.
PPO Plan
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $40.70 $81.40 –
Associate + spouse/par!ner $177.20 $217.90 $258.60 Associate + child(ren) $69.00 $109.70 –
Associate + family $205.50 $246.20 $286.90
HMO Plans
Kaiser of Oregon
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $35.60 $71.20 –
Associate + spouse/par!ner $153.80 $189.40 $225.00 Associate + child(ren) $60.30 $95.90 –
Associate + family $178.40 $214.00 $249.60
Kaiser California:
Nor!h and South
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $35.00 $70.00 —
Associate + spouse/par!ner $150.50 $185.50 $220.50 Associate + child(ren) $59.00 $94.00 —
Associate + family $174.40 $209.40 $244.40
23AE-Standard-Medical-Rates 111422A 4
Confidential – Internal Use Only ©2022 Walmar! Inc. HMSA Hawaii
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $59.20 $118.40 —
Associate + spouse/par!ner $290.90 $350.10 $409.30 Associate + child(ren) $140.60 $199.80 —
Associate + family $341.20 $400.40 $459.60
Hawaii Plans
Vision
Dental
Vision and Dental Plans
Cost per biweekly pay period
Coverage Rate
Associate only $2.76
Associate + spouse/par!ner $5.52
Associate + child(ren) $5.52
Associate + family $8.26
Note: If you have an HMO medical plan available, the HMO may offer its own vision coverage, so consider whether those benefits meet your needs before you make your enrollment decision.
Cost per biweekly pay period
Coverage Rate
Associate only $8.30
Associate + spouse/par!ner $20.00
Associate + child(ren) $19.40
Associate + family $33.90
Kaiser Hawaii
Cost per biweekly pay period
Tobacco-
free
One
tobacco
user
Two
tobacco
users
Associate only $54.60 $109.20 —
Associate + spouse/par!ner $284.80 $339.40 $394.00 Associate + child(ren) $126.50 $181.10 —
Associate + family $332.30 $386.90 $441.50
23AE-Standard-Medical-Rates 111422A 5
Confidential – Internal Use Only ©2022 Walmar! Inc. Optional associate life insurance
Income protections and extra insurance
Cost per biweekly pay period
Associate’s
age
All eligible associates Management/truck drivers only
$25,000 $50,000 $75,000 $100,000 $150,000 $200,000 $300,000 $500,000 $750,000 $1,000,000 under 25
$0.36 $0.71 $1.07 $1.43 $2.14 $2.85 $4.28 $7.13 $10.70 $14.27
$0.39 $0.78 $1.17 $1.56 $2.35 $3.13 $4.69 $7.82 $11.74 $15.65 25–29
$0.39 $0.78 $1.17 $1.56 $2.35 $3.13 $4.69 $7.82 $11.74 $15.65
$0.43 $0.85 $1.28 $1.70 $2.55 $3.41 $5.11 $8.52 $12.77 $17.03 30–34
$0.53 $1.06 $1.59 $2.12 $3.18 $4.23 $6.35 $10.59 $15.88 $21.17
$0.60 $1.20 $1.80 $2.39 $3.59 $4.79 $7.18 $11.97 $17.95 $23.93 35–39
$0.64 $1.29 $1.93 $2.58 $3.87 $5.16 $7.73 $12.89 $19.33 $25.78
$0.72 $1.45 $2.17 $2.90 $4.35 $5.80 $8.70 $14.50 $21.75 $29.00 40–44
$0.74 $1.47 $2.21 $2.95 $4.42 $5.89 $8.84 $14.73 $22.09 $29.46
$0.84 $1.68 $2.52 $3.36 $5.04 $6.72 $10.08 $16.80 $25.20 $33.60 45–49
$1.14 $2.28 $3.42 $4.56 $6.84 $9.11 $13.67 $22.78 $34.18 $45.57
$1.29 $2.58 $3.87 $5.16 $7.73 $10.31 $15.47 $25.78 $38.66 $51.55 50–54
$1.73 $3.45 $5.18 $6.90 $10.36 $13.81 $20.71 $34.52 $51.78 $69.04
$1.98 $3.96 $5.94 $7.92 $11.88 $15.83 $23.75 $39.58 $59.38 $79.17 55–59
$3.21 $6.42 $9.63 $12.84 $19.26 $25.68 $38.52 $64.21 $96.31 $128.42
$3.67 $7.34 $11.01 $14.68 $22.02 $29.37 $44.05 $73.41 $110.12 $146.83 60–64
$4.78 $9.55 $14.33 $19.10 $28.65 $38.20 $57.30 $95.51 $143.26 $191.01
$5.45 $10.91 $16.36 $21.82 $32.73 $43.63 $65.45 $109.08 $163.63 $218.17 65–69
$8.94 $17.88 $26.82 $35.76 $53.64 $71.53 $107.29 $178.82 $268.22 $357.63
$11.93 $23.87 $35.80 $47.73 $71.60 $95.46 $143.19 $238.65 $357.98 $477.30 70+
$13.90 $27.80 $41.70 $55.60 $83.40 $111.20 $166.80 $278.01 $417.01 $556.01
$18.54 $37.08 $55.61 $74.15 $111.23 $148.30 $222.45 $370.75 $556.13 $741.50 Tobacco-free user Tobacco user Tobacco-free user Tobacco user 23AE-Standard-Medical-Rates 111422A 6
Confidential – Internal Use Only ©2022 Walmar! Inc. Cost per biweekly pay period
Associate’s age $5,000 $15,000 $25,000 $50,000 $75,000 $100,000 $150,000 $200,000 under 25
$0.18 $0.54 $0.90 $1.80 $2.69 $3.59 $5.39 $7.18
$0.21 $0.62 $1.04 $2.07 $3.11 $4.14 $6.21 $8.28
25–29
$0.21 $0.64 $1.07 $2.14 $3.21 $4.28 $6.42 $8.56
$0.24 $0.71 $1.19 $2.37 $3.56 $4.74 $7.11 $9.48
30–34
$0.29 $0.86 $1.43 $2.85 $4.28 $5.71 $8.56 $11.41
$0.32 $0.95 $1.59 $3.18 $4.76 $6.35 $9.53 $12.70
35–39
$0.32 $0.96 $1.60 $3.20 $4.80 $6.40 $9.60 $12.80
$0.35 $1.06 $1.77 $3.54 $5.32 $7.09 $10.63 $14.18
40–44
$0.35 $1.06 $1.77 $3.54 $5.32 $7.09 $10.63 $14.18
$0.40 $1.19 $1.98 $3.96 $5.94 $7.92 $11.88 $15.83
45–49
$0.53 $1.59 $2.66 $5.32 $7.97 $10.63 $15.95 $21.26
$0.62 $1.85 $3.08 $6.17 $9.25 $12.34 $18.50 $24.67 50–54
$0.82 $2.45 $4.08 $8.17 $12.25 $16.34 $24.51 $32.68
$0.95 $2.84 $4.74 $9.48 $14.22 $18.96 $28.44 $37.93 55–59
$1.53 $4.58 $7.63 $15.26 $22.89 $30.52 $45.77 $61.03
$1.85 $5.55 $9.25 $18.50 $27.75 $37.01 $55.51 $74.01 60–64
$2.34 $7.03 $11.71 $23.43 $35.14 $46.86 $70.28 $93.71
$2.96 $8.87 $14.79 $29.57 $44.36 $59.15 $88.72 $118.29 65–69
$4.51 $13.53 $22.54 $45.08 $67.63 $90.17 $135.25 $180.34
$5.92 $17.76 $29.60 $59.19 $88.79 $118.38 $177.57 $236.76 70+
$7.31 $21.94 $36.57 $73.14 $109.71 $146.28 $219.41 $292.55
$9.60 $28.81 $48.02 $96.04 $144.05 $192.07 $288.11 $384.14 Tobacco-free user Tobacco user
Optional spouse/par!ner life insurance*
*Spouse/par!ner life insurance is based on associate’s age. Cost per biweekly pay period
Coverage Rate
$5,000 per dependent $0.33
$10,000 per dependent $0.66
$20,000 per dependent $1.32
Optional dependent life insurance — child(ren)
23AE-Standard-Medical-Rates 111422A 7
Confidential – Internal Use Only ©2022 Walmar! Inc. Cost per biweekly pay period*
Associate only
Associate’s age $5,000 $10,000 $15,000 $20,000
under 25
$0.40 $0.80 $1.18 $1.58
$0.58 $1.16 $1.74 $2.32
25–29
$0.40 $0.80 $1.18 $1.58
$0.58 $1.16 $1.74 $2.32
30–34
$0.40 $0.80 $1.18 $1.58
$0.58 $1.16 $1.74 $2.32
35–39
$0.52 $1.02 $1.54 $2.04
$0.68 $1.34 $2.02 $2.68
40–44
$0.80 $1.58 $2.36 $3.14
$1.06 $2.14 $3.20 $4.26
45–49
$1.26 $2.50 $3.74 $5.00
$1.72 $3.42 $5.14 $6.84
50–54
$2.08 $4.16 $6.24 $8.32
$2.82 $5.64 $8.46 $11.26
55–59
$2.76 $5.50 $8.24 $11.00
$3.72 $7.44 $11.16 $14.86
60–64
$3.52 $7.02 $10.54 $14.04
$4.80 $9.60 $14.40 $19.20
65–69
$4.18 $8.36 $12.54 $16.72
$5.74 $11.46 $17.18 $22.90
70+
$5.56 $11.14 $16.70 $22.26
$7.60 $15.20 $22.78 $30.38
Tobacco-free user Tobacco user
Critical illness
*If you are enrolled in the Saver Plan, your rates will be slightly lower because you are not eligible for the major organ transplant rider. 23AE-Standard-Medical-Rates 111422A 8
Confidential – Internal Use Only ©2022 Walmar! Inc. Cost per biweekly pay period*
Associate + spouse/par!ner
Associate’s age $5,000 $10,000 $15,000 $20,000
under 25
$0.86 $1.72 $2.56 $3.42
$1.04 $2.08 $3.12 $4.16
$1.06 $2.14 $3.20 $4.26
$1.26 $2.50 $3.74 $5.00
25–29
$0.86 $1.72 $2.56 $3.42
$1.04 $2.08 $3.12 $4.16
$1.06 $2.14 $3.20 $4.26
$1.26 $2.50 $3.74 $5.00
30–34
$0.86 $1.72 $2.56 $3.42
$1.04 $2.08 $3.12 $4.16
$1.06 $2.14 $3.20 $4.26
$1.26 $2.50 $3.74 $5.00
35–39
$1.12 $2.22 $3.34 $4.44
$1.28 $2.54 $3.82 $5.08
$1.32 $2.64 $3.96 $5.26
$1.48 $2.96 $4.44 $5.92
40–44
$1.74 $3.46 $5.20 $6.94
$2.02 $4.02 $6.04 $8.04
$2.06 $4.12 $6.16 $8.22
$2.34 $4.66 $7.00 $9.34
45–49
$2.76 $5.50 $8.24 $11.00
$3.22 $6.42 $9.64 $12.84
$3.34 $6.66 $9.98 $13.30
$3.80 $7.58 $11.36 $15.14
50–54
$4.64 $9.28 $13.92 $18.56
$5.38 $10.76 $16.14 $21.52
$5.56 $11.14 $16.70 $22.26
$6.30 $12.60 $18.90 $25.20
55–59
$6.22 $12.42 $18.64 $24.84
$7.18 $14.36 $21.54 $28.72
$7.44 $14.86 $22.30 $29.74
$8.40 $16.80 $25.20 $33.60
60–64
$7.94 $15.88 $23.82 $31.76
$9.24 $18.46 $27.70 $36.94
$9.58 $19.16 $28.74 $38.32
$10.88 $21.74 $32.62 $43.48
65–69
$9.44 $18.88 $28.32 $37.76
$11.00 $21.98 $32.96 $43.94
$11.40 $22.80 $34.20 $45.60
$12.96 $25.90 $38.84 $51.80
70+
$12.58 $25.16 $37.74 $50.32
$14.62 $29.22 $43.84 $58.44
$15.16 $30.34 $45.50 $60.66
$17.20 $34.40 $51.58 $68.78
Tobacco-free users One tobacco user (associate) One tobacco user (spouse/par!ner) Two tobacco users
*If you are enrolled in the Saver Plan, your rates will be slightly lower because you are not eligible for the major organ transplant rider. Critical illness
23AE-Standard-Medical-Rates 111422A 9
Confidential – Internal Use Only ©2022 Walmar! Inc. Cost per biweekly pay period*
Associate + dependent child(ren)
Associate’s age $5,000 $10,000 $15,000 $20,000
under 25
$0.58 $1.16 $1.74 $2.32
$0.76 $1.54 $2.30 $3.06
25–29
$0.58 $1.16 $1.74 $2.32
$0.76 $1.54 $2.30 $3.06
30–34
$0.58 $1.16 $1.74 $2.32
$0.76 $1.54 $2.30 $3.06
35–39
$0.70 $1.40 $2.08 $2.78
$0.86 $1.72 $2.56 $3.42
40–44
$0.98 $1.94 $2.92 $3.88
$1.26 $2.50 $3.74 $5.00
45–49
$1.44 $2.86 $4.30 $5.74
$1.90 $3.80 $5.68 $7.58
50–54
$2.26 $4.54 $6.80 $9.06
$3.00 $6.00 $9.00 $12.00
55–59
$2.94 $5.86 $8.80 $11.74
$3.90 $7.80 $11.70 $15.60
60–64
$3.70 $7.40 $11.08 $14.78
$5.00 $9.98 $14.96 $19.94
65–69
$4.36 $8.74 $13.10 $17.46
$5.92 $11.82 $17.74 $23.64
70+
$5.76 $11.50 $17.24 $23.00
$7.78 $15.56 $23.34 $31.12
Tobacco-free user Tobacco user
*If you are enrolled in the Saver Plan, your rates will be slightly lower because you are not eligible for the major organ transplant rider. Critical illness
23AE-Standard-Medical-Rates 111422A 10
Confidential – Internal Use Only ©2022 Walmar! Inc.
*If you are enrolled in the Saver Plan, your rates will be slightly lower because you are not eligible for the major organ transplant rider. Critical illness
Cost per biweekly pay period*
Associate + family
Associate’s age $5,000 $10,000 $15,000 $20,000
under 25
$1.04 $2.08 $3.12 $4.16
$1.24 $2.46 $3.68 $4.90
$1.26 $2.50 $3.74 $5.00
$1.44 $2.86 $4.30 $5.74
25–29
$1.04 $2.08 $3.12 $4.16
$1.24 $2.46 $3.68 $4.90
$1.26 $2.50 $3.74 $5.00
$1.44 $2.86 $4.30 $5.74
30–34
$1.04 $2.08 $3.12 $4.16
$1.24 $2.46 $3.68 $4.90
$1.26 $2.50 $3.74 $5.00
$1.44 $2.86 $4.30 $5.74
35–39
$1.30 $2.60 $3.88 $5.18
$1.46 $2.92 $4.36 $5.82
$1.50 $3.00 $4.50 $6.00
$1.66 $3.34 $5.00 $6.66
40–44
$1.92 $3.84 $5.76 $7.66
$2.20 $4.40 $6.58 $8.78
$2.24 $4.48 $6.72 $8.96
$2.52 $5.04 $7.56 $10.06
45–49
$2.94 $5.86 $8.80 $11.74
$3.40 $6.80 $10.18 $13.58
$3.52 $7.02 $10.54 $14.04
$3.98 $7.94 $11.92 $15.88
50–54
$4.84 $9.66 $14.48 $19.30
$5.56 $11.14 $16.70 $22.26
$5.76 $11.50 $17.24 $23.00
$6.50 $12.98 $19.46 $25.94
55–59
$6.40 $12.80 $19.18 $25.58
$7.36 $14.74 $22.10 $29.46
$7.62 $15.24 $22.86 $30.46
$8.60 $17.18 $25.76 $34.34
60–64
$8.14 $16.26 $24.38 $32.50
$9.42 $18.84 $28.26 $37.66
$9.76 $19.54 $29.30 $39.06
$11.06 $22.12 $33.16 $44.22
65–69
$9.64 $19.26 $28.88 $38.50
$11.18 $22.34 $33.52 $44.68
$11.60 $23.18 $34.76 $46.34
$13.14 $26.26 $39.40 $52.54
70+
$12.76 $25.54 $38.30 $51.06
$14.80 $29.60 $44.38 $59.18
$15.36 $30.70 $46.04 $61.40
$17.38 $34.76 $52.14 $69.52
Tobacco-free users One tobacco user (associate) One tobacco user (spouse/par!ner) Two tobacco users 23AE-Standard-Medical-Rates 111422A 11
Confidential – Internal Use Only ©2022 Walmar! Inc. Cost per biweekly pay period
Coverage
All eligible associates Management only
$25,000 $50,000 $75,000 $100,000 $150,000 $200,000 $300k $500k $750k $1M Associate only $0.16 $0.32 $0.48 $0.64 $0.97 $1.29 $1.93 $3.22 $4.83 $6.44 Associate +
family $0.31 $0.62 $0.93 $1.24 $1.86 $2.49 $3.73 $6.21 $9.32 $12.43 Accidental death and dismemberment insurance (AD&D) Cost per biweekly pay period
Coverage Rate
Associate only $0.68
Associate + spouse/par!ner $1.28
Associate + child(ren) $1.34
Associate + family $1.80
Accident insurance
Shor!-term disability enhanced insurance
Cost per biweekly pay period*
Age Rate CT only rate DC only rate MA only rate NY only rate WA only rate under 25 $0.19 $0.10 $0.10 $0.03 $0.33 $0.06
25–29 $0.19 $0.10 $0.10 $0.03 $0.43 $0.06
30–34 $0.19 $0.10 $0.10 $0.03 $0.46 $0.06
35–39 $0.19 $0.10 $0.10 $0.03 $0.51 $0.06
40–44 $0.20 $0.11 $0.11 $0.03 $0.43 $0.07
45–49 $0.24 $0.13 $0.13 $0.03 $0.43 $0.08
50–54 $0.31 $0.16 $0.17 $0.04 $0.63 $0.10
55–59 $0.35 $0.18 $0.19 $0.05 $0.72 $0.12
60–64 $0.42 $0.22 $0.23 $0.06 $1.04 $0.14
65–69 $0.52 $0.27 $0.28 $0.07 $1.50 $0.17
70+ $0.67 $0.35 $0.36 $0.09 $1.51 $0.22
*Disability costs are based on your age and earnings. To find your cost, divide your pretax earnings by 100 and multiply by the rate above. 23AE-Standard-Medical-Rates 111422A 12
Confidential – Internal Use Only ©2022 Walmar! Inc. Long-term and long-term enhanced disability insurance Truck driver long-term disability insurance
Cost per biweekly pay period*
Age LTD rate LTD enhanced rate
under 25 $0.05 $0.08
25–29 $0.09 $0.14
30–34 $0.13 $0.21
35–39 $0.25 $0.37
40–44 $0.37 $0.57
45–49 $0.56 $0.85
50–54 $0.80 $1.17
55–59 $0.95 $1.37
60–64 $1.02 $1.54
65–69 $0.91 $1.40
70+ $0.89 $1.36
Cost per biweekly pay period*
Plan duration option Driver LTD rate** Driver LTD enhanced rate** Five-year duration coverage $1.73 $2.59
Full-duration coverage $2.34 $3.52
*Disability costs are based on your age and earnings. To find your cost, divide your pretax earnings by 100 and multiply by the rate above.
**Truck driver LTD coverage premiums are based on earnings and the type of truck driver LTD coverage.