Cost of Coverage
Medical
| Coverage Tier | EE Cost PP | |
|---|---|---|
| Basic | ||
| Employee Only | $66.51 | |
| Employee + Spouse | $262.30 | |
| Employee + Child(ren) | $171.58 | |
| Employee + Family | $355.85 | |
| Coverage Tier | EE Cost PP | |
| Standard | ||
| Employee Only | $107.26 | |
| Employee + Spouse | $337.84 | |
| Employee + Child(ren) | $232.36 | |
| Employee + Family | $457.03 | |
| Coverage Tier | EE Cost PP | |
| Premium | ||
| Employee Only | $153.36 | |
| Employee + Spouse | $450.03 | |
| Employee + Child(ren) | $319.44 | |
| Employee + Family | $607.66 | |
| #colspan# | ||
| Coverage Tier | EE Cost PP | |
| HPN | ||
| Employee Only | $55.38 | |
| Employee + Spouse | $218.30 | |
| Employee + Child(ren) | $143.08 | |
| Employee + Family | $296.30 | |
Dental
| Coverage Tier | EE Cost PP | |
|---|---|---|
| Core | All Emp | |
| Employee Only | $13.76 | |
| Employee + Family | $27.64 | |
| Coverage Tier | EE Cost PP | |
| Buy-Up | All Emp | |
| Employee Only | $18.46 | |
| Employee + Family | $40.15 |
Vision
| Coverage Tier | EE Cost PP |
|---|---|
| All Emp | |
| Employee Only | $3.72 |
| Employee + 1 | $7.14 |
| Employee + Family | $10.50 |
