EMPLOYEE CONTRIBUTION COSTS
Medical Plans (Bi-Weekly)
Low Plan 2024
Mid Plan 2024
High Plan 2024
Coverage
Employee Only
$61.40
$227.09
$352.47
Employee + Spouse
$408.96
$740.32
$991.08
Employee + Child(ren)
$339.45
$637.68
$863.36
Employee + Family
$756.52
$1,253.56
$1,629.71
Dental Plans (Bi-Weekly)
DHMO Plan 2024
DPPO 11E Plan* 2024
DPPO 12C Plan* 2024
Coverage
Employee Only
$5.13
$17.33
$21.88
Employee + Spouse
$10.12
$34.57
$43.62
Employee + Child(ren)
$13.75
$44.93
$56.74
Employee + Family
$18.74
$62.16
$78.48
*Your contribution cost for the Dental PPO plan is dependent on your geographic location
Vision Plan (Bi-Weekly)
Coverage
Vision Plan 2024
Employee Only
$2.20
Employee + Spouse
$4.18
Employee + Child(ren)
$4.40
Employee + Family
$6.48
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PRIVATE PREP BENEFITS GUIDE
OVERVIEW I
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