Plan Costs Per Pay Period
Medical Bronze Plan
Employee Only: $44.82
Employee and Spouse: $152.41
Employee and Child(ren): $117.00
Employee and Family: $255.51
Medical Silver Plan HSA
Employee Only: $49.72
Employee and Spouse: $162.19
Employee and Child(ren): $125.81
Employee and Family: $270.18
Medical Gold Plan
Employee Only: $140.20
Employee and Spouse: $343.16
Employee and Child(ren): $288.67
Employee and Family: $541.64
Dental Silver Plan
Employee Only: $16.14
Employee and Spouse: $32.26
Employee and Child(ren): $33.49
Employee and Family: $51.93
Dental Gold Plan
Employee Only: $23.80
Employee and Spouse: $47.59
Employee and Child(ren): $49.40
Employee and Family: $79.61
Vision Plan
Employee Only: $2.53
Employee and Spouse: $5.06
Employee and Child(ren): $5.10
Employee and Family: $8.15