Employee Contributions


PLAN COVERAGE LEVELS



MONTHLY EMPLOYEE PREMIUM



PER PAY PERIOD (26) EMPLOYEE PREMIUM



PER PAY PERIOD (52) EMPLOYEE PREMIUM


MEDICAL PLAN: Cigna OAPINN Base Plan $2500 Ded
Employee Only$127.72$58.95$29.47
Employee & Spouse$287.38$132.64$66.32
Employee & Child(ren)$263.46$121.60$60.79
Employee & Family$423.10$195.28$97.64
MEDICAL PLAN: Cigna OAPINN Buy Up Plan $1500 Ded
Employee Only$143.63$66.29$33.15
Employee & Spouse$323.16$149.15$74.58
Employee & Child(ren)$296.24$136.73$68.37
Employee & Family$475.76$219.58$109.80
MEDICAL PLAN: Cigna OAP Full $500 Ded
Employee Only$140.19$64.70$32.35
Employee & Spouse$315.43$145.58$72.79
Employee & Child(ren)$289.27$133.51$66.75
Employee & Family$464.34$214.31$107.15
MEDICAL PLAN: Kaiser HMO $2500 Ded [Available in CA Only]
Employee Only$129.68$59.85$29.93
Employee & Spouse$291.77$134.66$67.34
Employee & Child(ren)$267.46$123.44$61.73
Employee & Family$429.55$198.26$99.13
DENTAL PLAN: Cigna Total Dental PPO 1000- Base Plan
Employee Only$17.53$8.09$4.05
Employee & Spouse$38.21$17.64$8.82
Employee & Child(ren)$32.27$14.89$7.45
Employee & Family53$24.46$12.23
DENTAL PLAN: Cigna Total Dental PPO 2000 with Ortho- Buy Up Plan
Employee Only$20.24$9.34$4.67
Employee & Spouse$44.12$20.36$10.18
Employee & Child(ren)$37.26$17.20$8.60
Employee & Family$61.19$28.24$14.12
VISION PLAN: EyeMed Vision Insight
Employee Only$2.82$1.30$0.65
Employee & Spouse$4.84$2.23$1.12
Employee & Child(ren)$4.75$2.19$1.10
Employee & Family$7.67$3.54$1.77

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