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Estimated Imputed Income Chart
Following are examples of approximate taxable income amounts for domestic partner benefits:

For an associate with 3 to 10 years of benefits-eligible service:
    Single monthly premium Cost per-pay-period for premiums Full-time Associate after-tax deduction per pay period Amount on each paycheck subject to federal FICA and state tax
Medical Plan
HMO $388.74 $179.42 $31.00 $148.42
$250 PPO $507.00 $234.00 $41.00 $193.00
 
Dental Plan
HMO $15.73 $7.26 $2.50 $4.76
PDP $31.09 $14.35 $5.45 $8.90

For a new-hire associate with less than 1 year of benefits-eligible service:
    Single monthly premium Cost per-pay-period for premiums Full-time Associate after-tax deduction per pay period Amount on each paycheck subject to federal FICA and state tax
Medical Plan
HMO $388.74 $179.42 $55.00 $124.42
$250 PPO $507.00 $234.00 $71.00 $163.00
 
Dental Plan
HMO $15.73 $7.26 $2.50 $4.76
PDP $31.09 $14.35 $5.45 $8.90

These premiums are a rough estimate for illustration and are subject to change. The actual amount subject to taxable income will be determined by the plan in which you and your domestic partner participate and which options are available to you.