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17

Pre-Tax Benefit Contributions

Some benefit deductions may be made on a pre-tax basis. This means that you do

not pay state, federal, and social security taxes on eligible premiums paid using a

payroll deduction. Bottom-line, this means more money in your pocket. Your pay-

roll deductions for medical, vision, dental, flexible spending accounts (FSA), park-

ing, transit and 401(k) benefits will be made on a pre-tax basis where applicable.

Please contact Human Resources if you do not wish to pay your premiums with pre

-tax income.

Payroll Deductions

Per Pay Check

(Bi-Weekly)

Employee Only

Employee +

Spouse

Employee +

Child(ren)

Employee +

Spouse

+ Child(ren)

EPO

$23.08

$391.47

$325.18

$466.20

PPO

$52.23

$513.89

$422.25

$614.72

Medical

Per Month Cost

Employee Only

Employee +

Spouse

Employee +

Child(ren)

Employee +

Spouse

+ Child(ren)

Concordia Preferred

$32.84

$65.12

$58.99

$98.73

Dental

Per Month Cost

Employee Only

Employee + Spouse

Employee +

Child(ren)

Employee +

Spouse

+ Child(ren)

NVA Vision

$5.91

$11.49

$11.49

$16.99

Vision