PAYROLL DEDUCTIONS
The Charts below show the weekly and bi-weekly payroll deduction amounts for each of the benefits offered.
MEDICAL
Weekly Deductions
Employee Cost Base
Employee Cost Mid
Employee Cost High
Employee Only
$10.00 $78.54 $72.53 $91.99
$25.82 $112.40 $104.81 $116.20
$37.01 $136.34 $127.63 $133.31
Employee + Spouse Employee + Child(ren)
Family
Bi-Weekly Deductions Employee Only
Employee Cost Micro
Employee Cost Sportsman
Employee Cost Pro-Series
$20.00 $157.08 $145.06 $183.98
$51.65 $224.80 $209.61 $232.39
$74.02 $272.68 $255.26 $266.63
Employee + Spouse Employee + Child(ren)
Family
DENTAL
Employee Cost
Employee Cost
Weekly Deductions
Bi-Weekly Deductions
Employee Only
$5.08
Employee Only
$10.16 $22.04 $25.87 $39.63
Employee + Spouse Employee + Child(ren)
$11.02 $12.93 $19.81
Employee + Spouse Employee + Child(ren)
Family
Family
VISION
Employee Cost
Bi-Weekly Deductions
Employee Cost
Weekly Deductions
Employee Only
$0.87 $2.21 $2.05 $3.39
Employee Only
$1.74 $4.42 $4.10 $6.78
Employee + Spouse Employee + Child(ren)
Employee + Spouse Employee + Child(ren)
Family
Family
VOLUNTARY LIFE INSURANCE Rates vary based on age and amount of coverage. Please see the payroll deduction form for amounts.
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