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2017 MEDICAL CONTRIBUTIONS
QUALIFIEDHIGHDEDUCTIBLEHEALTH
PLAN(HDHPwithHSA)
Semi-MonthlyContributions
PreTax
PostTax
Employee
$57.61
N/A
Employee + 1
$110.95
N/A
Family
$173.61
N/A
DomesticPartner (DP)*
N/A
$53.34
DP &DP Child(ren)*
N/A
$116.00
CHOICEPLUSBASEPLAN
Semi -MonthlyContributions
Pre Tax
Post Tax
Employee
$64.73
N/A
Employee + 1
$124.65
N/A
Family
$195.05
N/A
Domestic Partner (DP)*
N/A
$59.92
DP & DP Child(ren)*
N/A
$130.32
CHOICE PLUS BUY UP PLAN
Semi -MonthlyContributions
Pre Tax
Post Tax
Employee
$96.28
N/A
Employee + 1
$185.44
N/A
Family
$290.12
N/A
DomesticPartner (DP)*
N/A
$89.16
DP & DP Child(ren)*
N/A
$193.84
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