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Employee Contributions
SLFHC pays the full cost of many of your benefits; you share the cost for others. The charts below provide the per-pay period cost for
each of the benefits provided by SLFHC. Use these charts to compare costs and plan how best to make your annual enrollment decisions.
Enrollment
You
must
visit the online enrollment site to enroll or decline benefits for the 2017 plan year. If you choose to participate in the Health
and/or Dependent Care Flexible Spending Account or the Health Savings Account, you must make an annual election into these plans.
All new benefit elections and premiums will go into effect January 1, 2017. If you have any questions about your benefit plan, please
contact Human Resources at (520) 381-0316.
Online Enrollment
• Logon to Paycom
• Click on the Benefits Tile 2017 Benefit Enrollment or select My Benefits then click on 2017 Benefit Enrollment
• Click Start Enrollment
Medical
CDHDP
Per
Pay Period
CDHDP with
Local Plus Network
Per Pay Period
Employee Only
$56.00
$52.00
Employee + Spouse
$285.00
$261.00
Employee + Child(ren)
$253.00
$232.00
Employee + Family
$402.00
$369.00
Voluntary Life & AD&D
Age
Rate per $1,000
Employee
1
Spouse
1
<30
$0.085
$0.091
30-34
$0.090
$0.096
35-39
$0.118
$0.124
40-44
$0.193
$0.199
45-49
$0.339
$0.345
50-54
$0.519
$0.525
55-59
$0.896
$0.902
60-64
$1.066
$1.072
65-69
$2.055
$2.061
70-74
$3.699
$3.705
75+
$5.449
$5.455
Voluntary Dental
Per Pay Period
Employee Only
$16.77
Employee + One
$35.76
Employee + Family
$61.25
Voluntary Vision
Per Pay Period
Employee Only
$4.88
Employee + Family
$10.49
Child(ren) Rate per $1,000
2
$0.030
1
Employee/Spouse rates are based on individual’s age.
2
Children coverage rate is based on coverage amount, not number of
children.