Cost of Coverage

Medical Plans
PPO BASE PLAN PPO BUY-UP HDHP PREMIUM HDHP BASIC
Employee $74.98 $154.72 $48.71 $10.00
Employee & Spouse $168.51 $356.19 $107.89 $52.57
Employee & Child(ren) $129.11 $273.56 $83.18 $42.91
Family $237.35 $497.02 $151.58 $74.88
Dental Plans
DENTAL BASE PLAN DENTAL BUY-UP PLAN
Employee Contributions (Semi-Monthly): Dental Plans
DENTAL BASE PLAN DENTAL BUY-UP PLAN
Employee $1.95 $8.18
Employee & Spouse $3.82 $17.64
Employee & Child(ren) $4.27 $24.17
Family $7.39 $30.75
Vision Plan
EYEMED VISION CARE
Employee Contributions (Semi-Monthly): Vision Plan
Employee $3.97
Employee & Spouse $7.12
Employee & Child(ren) $7.92
Family $11.66
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