Your medical, dental and vision premiums are deducted from the first two paychecks each month.
Medical Premiums
| Per pay period | Full Time (.875 FTE - 1.0 FTE) |
Part-Time (.50 FTE - .874 FTE) |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Prime - HDP | Choice - MHP | Prime - HDP | Choice - MHP | |||||||
| Employee Only | $22.50 | $53.00 | $36.00 | $87.50 | ||||||
| Employee + Spouse/Domestic Partner | $87.50 | $158.50 | $135.50 | $247.50 | ||||||
| Employee + Child(ren) | $78.50 | $124.50 | $122.00 | $195.00 | ||||||
| Employee + Family | $140.00 | $261.50 | $202.50 | $379.50 | ||||||
Dental Premiums
| Per Pay Period | Full Time (.875 FTE - 1.0 FTE) |
Part-Time (.50 FTE - .874 FTE) |
|||||
|---|---|---|---|---|---|---|---|
| Dental | Dental + Orthodontia | Dental | Dental + Orthodontia | ||||
| Employee Only | $9.00 | $11.50 | $15.00 | $19.00 | |||
| Employee + Spouse/Domestic Partner | $19.50 | $27.00 | $32.50 | $45.00 | |||
| Employee + Child(ren) | $22.50 | $31.00 | $37.50 | $51.50 | |||
| Employee + Family | $39.00 | $53.50 | $65.00 | $89.00 | |||
Vision Premiums
| Per pay period | Full Time (.875 FTE - 1.0 FTE) |
Part-Time (.50 FTE - .874 FTE) |
|||||
|---|---|---|---|---|---|---|---|
| VSP Vision Plan | Base Plan | Premium | Base Plan | Premium | |||
| Employee Only | $3.26 | $11.42 | $3.26 | $11.42 | |||
| Employee + Spouse/Domestic Partner | $5.97 | $20.93 | $5.97 | $20.93 | |||
| Employee + Child(ren) | $6.64 | $23.25 | $6.64 | $23.25 | |||
| Employee + Family | $9.08 | $32.57 | $9.08 | $32.57 | |||
Accident Insurance
| Per Pay Period | ||
|---|---|---|
| Employee Only | $4.48 | |
| Employee + Spouse/Domestic Partner | $7.63 | |
| Employee + Child(ren) | $9.99 | |
| Employee + Family | $13.14 | |
Hospital Indemnity Insurance
| Per Pay Period | ||
|---|---|---|
| Employee Only | $16.12 | |
| Employee + Spouse/Domestic Partner | $35.73 | |
| Employee + Child(ren) | $30.46 | |
| Employee + Family | $49.03 | |
