Plan Costs Per Pay Period

Medical Bronze Plan

Employee Only: $49.51

Employee and Spouse: $168.36

Employee and Child(ren): $129.24

Employee and Family: $282.26

Medical Silver Plan HSA

Employee Only: $54.92

Employee and Spouse: $179.16

Employee and Child(ren): $138.97

Employee and Family: $298.45

Medical Gold Plan

Employee Only: $154.87

Employee and Spouse: $379.06

Employee and Child(ren): $318.87

Employee and Family: $598.31

Dental Silver Plan

Employee Only: $16.94

Employee and Spouse: $33.87

Employee and Child(ren): $35.16

Employee and Family: $54.53

Dental Gold Plan

Employee Only: $24.99

Employee and Spouse: $49.97

Employee and Child(ren): $51.88

Employee and Family: $80.44

Vision Plan

Employee Only: $2.53

Employee and Spouse: $5.06

Employee and Child(ren): $5.10

Employee and Family: $8.15