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EMP LOY E E
Please note
: Medical, vision, dental, AD&D, and long term disability contributions are paid with pre-tax dollars.
Annual Base Salary for hourly employees is the employee's standard hourly rate multiplied by 2080. It excludes
overtime and any other compensation. Actual payroll deductions may be slightly different due to rounding.
C O N T R I B U T I O N S
28
Medical Coverage
Semi-Monthly
Bi-Weekly
Monthly
Blue Plan*
Employee
$84.55
$78.05
$169.10
Employee + spouse^
$203.62
$187.95
$407.23
Employee + child(ren)
$185.00
$170.77
$370.00
$302.71
$279.42
$605.42
Green Plan*
Employee
$54.63
$50.43
$109.26
Employee + spouse^
$127.47
$117.66
$254.94
Employee + child(ren)
$115.33
$106.46
$230.66
$188.17
$173.70
$376.34
White Plan*
Employee
$41.86
$38.64
$83.71
Employee + spouse^
$97.78
$90.25
$195.55
Employee + child(ren)
$88.47
$81.66
$176.93
$144.34
$133.23
$288.67
Dental Coverage
Semi-Monthly
Bi-Weekly
Monthly
Employee
$4.56
$4.20
$9.11
Employee + spouse
$9.11
$8.41
$18.22
Employee + child(ren)
$10.02
$9.25
$20.04
$14.58
$13.45
$29.15
Vision Coverage
Semi-Monthly
Bi-Weekly
Monthly
Employee
$5.15
$4.75
$10.29
Employee + spouse
$8.24
$7.60
$16.47
Employee + child(ren)
$8.41
$7.76
$16.81
$13.55
$12.51
$27.10
Employee, spouse + child(ren)^
Employee, spouse + child(ren)^
Employee, spouse + child(ren)^
^Above medical contributions do NOT include any applicable Spousal Surcharge ($100 per month).
Employee, spouse + child(ren)
Employee, spouse + child(ren)
*Contributions shown do NOT include PremiumCredit (wellness discount) - complete online Personal Health Profile and annual biometric screening
and save $20 per month (up to $240 annually) in payroll contributions for 2017.