Employee Contribution
Medical
| Employee Contributions per Payroll (Semi-Monthly = 24 pays per year) | ||||||
|---|---|---|---|---|---|---|
| Medical Plans | HDHP 1 | HDHP 2 | Copay Plan | |||
| Employee | $102.37 | $85.74 | $63.13 | |||
| Employee & Spouse | $251.21 | $185.71 | $168.10 | |||
| Employee & Child(ren) | $188.22 | $144.13 | $130.65 | |||
| Family | $251.21 | $185.71 | $168.10 | |||
Dental
| Employee Contributions (Bi Weekly 24 per yr) | ||
|---|---|---|
| Dental Plan | ||
| Employee | $20.88 | |
| Employee & Spouse | $46.64 | |
| Employee & Child(ren) | $43.32 | |
| Employee & Spouse & Child(ren) (Family) | $66.00 | |
Vision
| Employee Contributions (Bi Weekly 24 per yr) | ||
|---|---|---|
| Vision Plan | ||
| Employee | $5.10 | |
| Employee & Spouse | $9.08 | |
| Employee & Child(ren) | $8.91 | |
| Employee & Spouse & Child(ren) (Family) | $14.37 | |
