Full-Time Costs
2012 Plan Year Benefit Rates
January 1, 2012 - December 31, 2012
Bi-weekly payroll deduction rates
|
Medical - Traditional
|
Well 1
|
Well 2
|
Non-Well
|
|
Employee Only
|
$29.00
|
$39.01
|
$56.64
|
|
Employee + Spouse
|
$102.00
|
$116.28
|
$183.87
|
|
Employee + Child(ren)
|
$78.00
|
$88.92
|
$141.59
|
|
Employee + Family
|
$131.00
|
$149.34
|
$236.45
|
|
Medical - Liberty
|
Well 1
|
Well 2
|
Non-Well
|
|
Employee Only
|
$24.65
|
$35.11
|
$49.25
|
|
Employee + Spouse
|
$86.70
|
$104.65
|
$161.29
|
|
Employee + Child(ren)
|
$66.30
|
$80.03
|
$123.12
|
|
Employee + Family
|
$111.35
|
$134.40
|
$205.61
|
|
Dental
|
Low Plan
|
High Plan
|
|
Employee Only
|
$3.60
|
$4.86
|
|
Employee + Spouse
|
$9.37
|
$12.96
|
|
Employee + Child(ren)
|
$9.42
|
$14.17
|
|
Employee + Family
|
$15.34
|
$23.56
|
|
Vision
|
Vision
|
|
Employee Only
|
$3.61
|
|
Employee + Spouse
|
$7.03
|
|
Employee + Child(ren)
|
$7.57
|
|
Employee + Family
|
$8.04
|