Yalanda Taylor Cherrelle Eaton
Employee 38 Employee 33 Employee 24 Employee 26 Employee 26 Employee 42 Employee 32 Employee 23
1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000
$166.60 $175.35 $146.37 $149.88 $148.64 $135.53 $173.16 $146.37
$472.24 $638.84 $638.84 $454.06 $629.41 $629.41 $379.01 $525.38 $525.38 $388.11 $537.99 $537.99 $388.11 $536.75 $536.75 $502.19 $637.72 $637.72 $448.36 $621.52 $621.52 $379.01 $525.38 $927.30
Raytreshia Walton Kayleigh Hunnicutt Leslie Heptinstall Amanda Morgan
Michael Oats
Ashlee McChargue Joseph Quintpn- McChargue Simone Velasco
Child
3
1.0000
$401.92
$0.00 $401.92
Employee 33 Employee 37 Employee 60 Employee 33 Employee 41 Employee 24 Employee 34 Employee 25 Employee 27 Employee 26 Employee 25 Employee 33 Employee 26 Employee 44
1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000
$220.86 $181.21 $393.97 $197.44 $240.03 $164.81 $177.69 $45.68 $97.18 $136.91 $146.96 $175.35 $149.88 $204.48 $525.38 $525.38 $537.99
$454.06 $674.92 $674.92 $469.21 $650.42 $650.42 $1,028.63 $1,422.60 $1,422.60 $454.06 $651.50 $651.50 $493.47 $733.50 $733.50 $379.01 $543.82 $543.82 $460.12 $637.81 $637.81 $380.52 $426.20 $426.20 $397.20 $494.38 $494.38 $388.11 $525.02 $525.02 $380.52 $527.48 $527.48 $454.06 $629.41 $629.41 $388.11 $537.99 $537.99 $529.48 $733.96 $2,322.71
Brittni Griggs
Norminda Callahan
Corrin Weaver Tamerra Mincey
Alea Story
Jessica Scrutchins Alyxus McCardle Jason Jenkins Alexis Blackmon
Jibri Williams
Edward Thomaston Micayla Siemon Antoinette Chaney Joseph Chaney Jairek Lawrence Anijah Chaney
Child Child Child
21 24 26
$0.00 $525.38 $0.00 $525.38 $0.00 $537.99
$44,413.74
$67,911.66
$112,325.40
Totals:
CHART F Affordability Analysis: By Employee
Your contribution is considered affordable for 100% of your employees.
Under the Affordable Care Act, employer-sponsored insurance is considered affordable if the cost for single-coverage of the local lowest-cost silver plan, less the employer ICHRA contribution, does not exceed 9.02% of an employee's annual household income. If employee salary information is not included in the uploaded census, an annual salary of $15,060.00 will be used as part of the FPL Safe Harbor. Affordability can be determined by either the Employee's primary residence ZIP code or the primary employment site ZIP code.
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