Your medical, dental and vision premiums are deducted from the first two paychecks each month.
Medical Premiums
| Per pay period | Full Time | Part-Time | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Live Well | Prime | Classic | Choice | Prime | Classic | Choice | ||||||||||
| Employee Only | Live Well | $0.00 | $24.50 | $37.50 | $3.50 | $39.50 | $61.00 | |||||||||
| Employee Only | Non-Live Well | $10.00 | $34.50 | $47.50 | $13.50 | $49.50 | $71.00 | |||||||||
| Employee + Spouse | Live Well | $10.00 | $84.00 | $126.50 | $15.50 | $130.50 | $197.50 | |||||||||
| Employee + Spouse | Non-Live Well | $25.00 | $99.00 | $141.50 | $30.50 | $145.50 | $212.50 | |||||||||
| Employee + Child(ren) | Live Well | $5.00 | $63.50 | $96.00 | $7.50 | $99.00 | $150.00 | |||||||||
| Employee + Child(ren) | Non-Live Well | $20.00 | $78.50 | $111.00 | $22.50 | $114.00 | $165.00 | |||||||||
| Employee + Family | Live Well | $12.50 | $145.00 | $218.50 | $18.00 | $210.50 | $317.50 | |||||||||
| Employee + Family | Non-Live Well | $27.50 | $160.00 | $233.50 | $33.00 | $225.50 | $332.50 | |||||||||
Dental Premiums
| Per Pay Period | Full Time | Part-Time | |||||
|---|---|---|---|---|---|---|---|
| Dental | Dental + Orthodontia | Dental | Dental + Orthodontia | ||||
| Employee Only | $5.50 | $8.50 | $9.00 | $14.00 | |||
| Employee + Spouse | $14.50 | $22.00 | $24.00 | $36.50 | |||
| Employee + Child(ren) | $17.00 | $25.50 | $28.50 | $42.50 | |||
| Employee + Family | $30.50 | $45.50 | $51.00 | $76.00 | |||
Vision Premiums
| Per pay period | Full Time | Part-Time | |||||
|---|---|---|---|---|---|---|---|
| VSP Vision Plan | Base Plan | Premium | Base Plan | Premium | |||
| Employee Only | $1.50 | $9.00 | $2.00 | $9.50 | |||
| Employee + Spouse | $3.00 | $16.50 | $3.50 | $17.00 | |||
| Employee + Child(ren) | $4.00 | $19.00 | $5.00 | $20.00 | |||
| Employee + Family | $4.50 | $25.50 | $5.50 | $26.50 | |||
