Just use ISNULL()
It will take care of both situations. Run the below test code to see. If IssCost is not null, it will use IssCost. If it is null, it will say "Boooo!"
Sorry for my lazy example data, I had the data already made and didn't feel like modifying it much :)
CREATE TABLE Payroll (
EmployeeID int NULL
,PlanCode varchar(10) NULL
,IssCost varchar(10) NULL
)
GO
INSERT INTO Payroll (EmployeeID, PlanCode, IssCost)
VALUES (1, 'Medical', '200')
,(1, 'Dental', '250')
,(1, 'Vision', '300')
,(2, 'Medical', '100')
,(2, 'Dental', '150')
,(2, 'Vision', NULL)
SELECT EmployeeID
,PlanCode
,ISNULL( IssCost, 'Boooo!')
FROM Payroll