Here are your weekly payroll deductions for medical, dental, and vision coverage.
| Benefit Plan | Employee Only |
Employee + Spouse | Employee + Child(ren) | Employee + Family |
|---|---|---|---|---|
| Weekly Deductions | ||||
| Medical – Anthem Blue Cross | ||||
| EPO | $12.23 | $44.77 | $40.38 | $64.85 |
| Low CDHP with HSA | $21.92 | $67.38 | $62.08 | $102.92 |
| High CDHP with HSA | $38.77 | $112.85 | $101.08 | $166.38 |
| PPO | $89.77 | $204.46 | $183.23 | $295.38 |
| Dental – Delta Dental | ||||
| Low PPO | $1.19 | $2.61 | $3.33 | $4.28 |
| High PPO | $3.39 | $7.03 | $8.72 | $11.39 |
| Vision – VSP Choice Plan | ||||
| Low Plan | $0.49 | $0.89 | $1.08 | $1.38 |
| High Plan | $2.05 | $3.69 | $4.51 | $5.73 |
