Two thoughts, three really.  First, if you' re suggesting that you' re covered under a spouse' s health plan, I' d think twice about declining the one being offered - you never know when that other coverage might not be there, for whatever reason.  Second, it' s really impossible to tell what the value of a health insurance plan might be because they' re all so different and it' s value depends to a significant degree on how much an employee uses it, what the deductible is, what portion of the premium is paid by the employee, what it covers, what limitations it has, and a whole host of other factors.  Third, trying to negotiate something else in exchange for declining health coverage seldom, if ever, works.  Health coverage programs just don' t work that way.  Employer' s offer health insurance programs as part of a benefit package, but they offer them because it' s the right thing to do, not because they have to.  Further, they' re usually purchased as part of a group plan which means the employer is paying less to cover employees than the employee' s would have to pay if they were go buy the same coverage as individuals - in other words, the insurer is spreading the risk over a significantly larger group of people, so even if you could place a "value" on the policy to you, it wouldn' t amount to much in terms of bargaining power because of the way group plans work.  Hope this helps.