17 / 32
2 0 1 6
EMPLOYEE
15
C O N T R I B U T I O N S
Employee Only
Employee + Spouse
Employee + Child(ren)
Employee + Family
Employee Only
Employee + Spouse
Employee + Child(ren)
Employee + Family
Employee Only
Employee + Spouse
Employee + Child(ren)
Employee + Family
$785.88
$589.41
$544.07
$523.92
$392.94
$362.72
$497.73
$373.29
$344.58
9 Month Semi-Monthly 12 Month Semi-Monthly Hourly Bi-Weekly
$128.41
$96.31
$88.90
Medical Insurance - HMO
9 Month Semi-Monthly 12 Month Semi-Monthly Hourly Bi-Weekly
$41.42
$31.06
$28.67
$199.18
$149.39
$137.89
$314.49
$235.87
$217.73
$17.47
$13.11
$12.10
$209.67
$157.25
$145.15
Medical Insurance - HDHP with H.S.A
9 Month Semi-Monthly 12 Month Semi-Monthly Hourly Bi-Weekly
$306.49
$229.87
$212.19
$291.17
$459.74
$344.80
$318.28
Medical Insurance - Multi-Choice
$218.38
$201.58
Employee Only
Employee + Spouse
Employee + Child(ren)
Employee + Family
Employee Only
Employee + Spouse
Employee + Child(ren)
Employee + Family
$56.67
$42.50
$39.23
$86.50
$64.88
$59.88
$24.00
$18.00
$16.62
$50.67
$38.00
$35.08
Dental Insurance - Value Plan
9 Month Semi-Monthly 12 Month Semi-Monthly Hourly Bi-Weekly
$86.50
$64.88
$59.88
$50.67
$38.00
$35.08
$56.67
$42.50
$39.23
Dental Insurance - NAP Plan
9 Month Semi-Monthly 12 Month Semi-Monthly Hourly Bi-Weekly
$24.00
$18.00
$16.62
Employee Only
Employee + Spouse
Employee + Child(ren)
Employee + Family
$6.73
$6.39
$9.89
$3.11
$6.21
$5.90
$9.13
$8.97
$8.52
$13.19
Vision Insurance - EyeMed Select
9 Month Semi-Monthly
$4.49
12 Month Semi-Monthly Hourly Bi-Weekly
$3.37
*All costs shown per pay period