Cost of Coverage
| Bi-Weekly Rates | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan Options | PPO Enhanced | PPO Value | Consumer Choice | Dental | Value Vision | Enhanced Vision | ||||||
| TM Only | $117.85 | $47.82 | $33.85 | $8.65 | $2.81 | $8.21 | ||||||
| TM +Spouse | $278.96 | $117.04 | $84.05 | $15.46 | $5.60 | $16.40 | ||||||
| TM +Child(ren) | $197.69 | $94.38 | $66.54 | $18.46 | $5.13 | $15.02 | ||||||
| TM +Family | $345.95 | $159.83 | $115.56 | $25.85 | $6.54 | $19.14 | ||||||
| All medical plan rates are subject to a $20 bi-weekly tobacco-free credit if you and your covered dependents are currently tobacco-free and have been for the past 12 months. | ||||||||||||
| Domestic Partner Rates | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| All Rates Bi-weekly | TM + DP | TM + TMChild(ren) & DP | TM + TMChild(ren) & DP& DP Child(ren) | TM + DP & DPChild(ren) | ||||||
| PPO Enhanced | Pre-Tax | $117.85 | $197.69 | $117.85 | $197.69 | |||||
| PPO Enhanced | Post Tax | $161.11 | $148.26 | $228.10 | $148.26 | |||||
| PPO Enhanced | Imputed Income | $621.52 | $738.42 | $818.26 | $738.42 | |||||
| PPO Value | Pre-Tax | $47.82 | $94.38 | $47.82 | $94.38 | |||||
| PPO Value | Post Tax | $69.22 | $65.45 | $112.01 | $65.45 | |||||
| PPO Value | Imputed Income | $633.43 | $768.15 | $814.71 | $768.15 | |||||
| Consumer Choice | Pre-Tax | $33.85 | $66.54 | $33.85 | $66.54 | |||||
| Consumer Choice | Post Tax | $50.20 | $49.02 | $81.71 | $49.02 | |||||
| Consumer Choice | Imputed Income | $621.11 | $762.69 | $795.38 | $762.69 | |||||
| Dental | Pre-Tax | $8.65 | $18.46 | $8.65 | $18.46 | |||||
| Dental | Post Tax | $6.81 | $7.39 | $17.20 | $7.39 | |||||
| Dental | Imputed Income | $17.23 | $24.78 | $34.01 | $24.78 | |||||
| Value Vision | Pre-Tax | $2.81 | $5.13 | $2.81 | $5.13 | |||||
| Value Vision | Post Tax | $2.79 | $1.41 | $3.73 | $1.41 | |||||
| Enhanced Vision | Pre-Tax | $8.21 | $15.02 | $8.21 | $15.02 | |||||
| Enhanced Vision | Post Tax | $8.19 | $4.12 | $10.93 | $4.12 | |||||