|
High Option |
Monthly Cost |
Per Pay Cost |
| Employee Only | $145.00 | $66.92 |
| Employee + One | $349.0 | $161.08 |
| Family | $516.00 | $238.15 |
|
Standard Option |
Monthly Cost |
Per Pay Cost |
| Employee Only | $98.00 | $45.23 |
| Employee + One | $246.00 | $113.54 |
| Family | $384.00 | $177.23 |
| Dental Plan |
Monthly Cost |
Per Pay Cost |
| Employee Only | $16.00 | $7.38 |
| Employee + One | $30.00 | $13.85 |
| Family | $39.00 | $18.00 |
|
Vision Service Plan |
Monthly Cost |
Per Pay Cost |
| Employee Only | $7.95 | $3.67 |
| Employee + One | $12.13 | $5.60 |
| Family | $21.75 | $10.04 |
| Employee Supplemental Life Rates | |
Age |
Rate per $1,000 of Coverage |
Thru age 29 | $0.07 |
30-34 |
$0.08 |
35-39 |
$0.10 |
40-44 |
$0.18 |
45-49 |
$0.33 |
50-54 |
$0.52 |
55-59 |
$0.86 |
60-64 |
$1.22 |
65-69 |
$2.11 |
70-74 |
$3.15 |
| Dependent Life Insurance |
$2.00 per month covers |
|
Plan |
Cost |
Per Pay Cost |
| Individual | $15.75 | $7.27 |
| Family | $20.11 | $9.28 |
|
Plan |
Monthly Cost |
Per Pay Cost |
| Full Program | $9.00 | $4.15 |
| Pet Assure Lite | $2.00 | $.92 |