MEDICAL CONTRIBUTION SCHEDULE
Low Option HSA OAP Plan
Bi-Weekly Rates
Employee Only
$ 0.00
Employee + Spouse
$ 240.00
Employee + Child(ren)
$ 100.00
Family
$ 360.00
High Option OAPIN Plan
Bi-Weekly Rates
Employee Only
$ 30.00
Employee + Spouse
$ 337.71
Employee + Child(ren)
$ 190.05
Family
$ 511.98
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