Medical Contributions
HMO Premier 2500
Employee Cost Per Pay Period
Employee Only
$ 13.96
Employee + Spouse
$ 264.36
Employee + Child(ren)
$ 180.89
Family
$ 413.15
HMO Premier 500
Employee Cost Per Pay Period
Employee Only
$ 32.51
Employee + Spouse
$ 324.12
Employee + Child(ren)
$ 226.91
Family
$ 497.39
PPO 1000
Employee Cost Per Pay Period
Employee Only
$ 31.32
Employee + Spouse
$ 312.25
Employee + Child(ren)
$ 218.61
Family
$ 479.19
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