What You Pay Employee Pre-Tax Contributions (26 Pay Periods)
Meritain Medical
HDHP Plan
EPO Plan
PPO Plan
Per Paycheck
Per Paycheck
Per Paycheck
Employee
$51.49
$94.68
$214.99
Employee + Spouse
$240.27
$302.97
$477.75
Employee + Child(ren)
$216.24
$272.67
$429.98
Employee + Family
$360.40
$454.45
$716.63
MetLife Dental Base Plan
MetLife Dental Buy-Up Plan
Per Paycheck
Per Paycheck
Employee
Employee
$0.00
$5.69
Employee + Spouse
Employee + Spouse
$8.90
$30.10
Employee + Child(ren)
Employee + Child(ren)
$11.62
$34.11
Employee + Family
Employee + Family
$22.68
$63.79
MetLife Vision through VSP
Per Paycheck
Employee
$0.00
Employee + Spouse
$3.02
Employee + Child(ren)
$2.10
Employee + Family
$5.40
13
** For illustrative purposes only. Please refer to your plan documents for all plan details
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