MEDICAL CONTRIBUTION SCHEDULE
Employee Pays (Bi-Weekly)
BRONZE PLAN
Employee Only
$ 36.71 $239.34 $160.05 $347.99
Employee + Spouse
Employee + Child(ren)
Family
Employee Pays (Bi-Weekly)
PREMIUM PLAN
Employee Only
$ 77.01 $335.27 $234.21 $473.76
Employee + Spouse
Employee + Child(ren)
Family
Employee Pays (Bi-Weekly)
DELUXE PLAN
Employee Only
$133.80 $470.42 $338.70 $650.91
Employee + Spouse
Employee + Child(ren)
Family
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