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PAYROLL DEDUCTIONS
THE DAVIS ACADEMY
PER PAY PERIOD PAYROLL DEDUCTIONS
EMPLOYEE
EMPLOYEE+
EMPLOYEE +
EMPLOYEE+
ONLY
SPOUSE
CHILD(REN)
FAMILY
24 Pay Periods
Medical
$37.68
$339.49
$284.13
$477.90
Dental
$20.18
$42.60
$38.12
$63.34
Vision
$4.06
$7.71
$8.12
$11.93
22 Pay Periods
Medical
$41.11
$370.35
$309.96
$521.34
Dental
$22.02
$46.47
$41.58
$69.10
Vision
$4.42
$8.41
$8.85
$13.01
EMPLOYEE
EMPLOYEE+
EMPLOYEE +
EMPLOYEE+
ONLY
SPOUSE
CHILD(REN)
FAMILY
24 Pay Periods
Medical
$19.26
$302.66
$250.98
$431.86
Dental
$20.18
$42.60
$38.12
$63.34
Vision
$4.06
$7.71
$8.12
$11.93
22 Pay Periods
Medical
$21.02
$330.17
$273.80
$471.12
Dental
$22.02
$46.47
$41.58
$69.10
Vision
$4.42
$8.41
$8.85
$13.01
EMPLOYEE
EMPLOYEE+
EMPLOYEE +
EMPLOYEE+
ONLY
SPOUSE
CHILD(REN)
FAMILY
24 Pay Periods
Medical
$0.00
$239.13
$191.30
$358.69
Dental
$20.18
$42.60
$38.12
$63.34
Vision
$4.06
$7.71
$8.12
$11.93
22 Pay Periods
Medical
$0.00
$260.86
$208.69
$391.29
Dental
$22.02
$46.47
$41.58
$69.10
Vision
$4.42
$8.41
$8.85
$13.01