EMPLOYEE PAYROLL CONTRIBUTIONS
Cigna Medical/Rx
$5,000 HSA Plan
$2,500 HSA Plan
$1,000 PPO Plan
Employee
$6.00
$11.25
$50.50
Employee + spouse
$12.00
$22.00
$60.25
Employee + child(ren)
$15.00
$27.00
$100.00
Family
$24.50
$42.70
$110.75
Guardian Dental
Base Plan
Enhanced Plan
Employee
$6.00
$11.25
Employee + spouse
$12.00
$22.00
Employee + child(ren)
$15.00
$27.00
Family
$24.50
$42.70
Guardian Vision
Base Plan
Enhanced Plan
Employee
$3.00
$4.99
Employee + spouse
$5.80
$9.50
Employee + child(ren)
$5.00
$9.75
Family
$9.50
$15.25
Note: Rates displayed is the amount per paycheck. For months with three paychecks, deductions are only taken for the first two paychecks of that month.
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