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 | ||||
| Clear Choice | $17.31 | $50.77 | $38.08 | $63.46 |
| Low CDHP with HSA | $24.23 | $80.77 | $61.15 | $103.85 |
| High CDHP with HSA | $41.54 | $132.69 | $99.23 | $170.77 |
| PPO | $98.08 | $213.46 | $184.62 | $317.31 |
| Dental – Delta Dental | ||||
| Low PPO | $1.85 | $4.62 | $3.46 | $5.77 |
| High PPO | $3.69 | $9.23 | $6.92 | $11.54 |
| Vision – VSP Choice Plan | ||||
| Low Plan | $1.15 | $1.62 | $1.38 | $2.31 |
| High Plan | $2.31 | $4.62 | $3.46 | $5.77 |
Here are your bi-weekly payroll deductions for medical, dental, and vision coverage.
| Benefit Plan | Employee Only |
Employee + Spouse | Employee + Child(ren) | Employee + Family |
|---|---|---|---|---|
| Bi-Weekly Deductions | ||||
| Medical – Anthem Blue Cross | ||||
| Clear Choice | $34.62 | $101.54 | $76.15 | $126.92 |
| Low CDHP with HSA | $48.46 | $161.54 | $122.31 | $207.69 |
| High CDHP with HSA | $83.03 | $265.38 | $198.46 | $341.54 |
| PPO | $196.15 | $426.92 | $369.23 | $634.62 |
| Dental – Delta Dental | ||||
| Low PPO | $3.69 | $9.23 | $6.92 | $11.54 |
| High PPO | $7.38 | $18.46 | $13.85 | $23.08 |
| Vision – VSP Choice Plan | ||||
| Low Plan | $2.31 | $3.23 | $2.77 | $4.62 |
| High Plan | $4.62 | $9.23 | $6.92 | $11.54 |
