2024 Plan Year Details Overview of Benefit Contributions
Anthem Medical Semi-Monthly Premiums
Health Tier
Basic Plan
Primary Plan
Employee Only
$62.79
$102.53
Employee + Spouse
$206.73
$292.48
Employee + Child(ren)
$140.98
$205.71
Family
$285.04
$395.83
Dental Semi-Monthly Premiums
Employee Only
$3.97
Employee + Spouse
$11.46
Employee + Child(ren)
$19.07
Family
$30.14
Vision Semi-Monthly Premiums
Employee Only
$4.08
Employee + Spouse
$6.88
Employee + Child(ren)
$7.01
Family
$11.29
Page 4 | CREA, LLC | Plan Year 2024
This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations , and exclusions set forth in each insurance carrier or provider’s contract.
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