Health Insurance Bi-Monthly Cost 

 PPOHDHP
 12 Month Employee9 Month Employee 12 Month Employee9 Month Employee
Single Coverage
Grandfathered $36.25 $48.33

 $30.00   

 $40.00

Standard $50.00 $66.67
Assistance Plan $0.00 $0.00
Employee + Children Coverage
Grandfathered   $80.00 $106.67

 $100.00

 $133.33

Standard $168.00 $224.00
Assistance Plan $118.00 $157.33
Family Coverage
Grandfathered   $96.75 $129.00

$150.00

$200.00

Standard $225.75 $301.00
Assistance Plan $175.75 $234.33

Dental Insurance Bi-Monthly Cost

Coverage Type12 Month9 Month
Single $14.67 $19.56
Employee + One Dependent $28.75 $38.33
Family $36.73 $48.97

Vision Insurance Bi-Monthly Cost 

Coverage Type12 Month9 Month
Single $4.04 $5.39
Employee + One Dependent $8.79 $11.72
Family

$14.15

$18.87

LifeLock Bi-Monthly Cost 

Coverage Type12 Month9 Month
Single $4.45 $5.93
Family $7.95 $10.60
  • Premiums are deducted from the first two checks in the month for those paid over 12 months.
  • To calculate 9 month premiums, multiply bimonthly premium by 24 and divide by 18 payroll checks.
  • Health, dental & vision premiums are paid from pre-tax dollars as allowed by Section 125 of the IRS Codes.
  • Insurance is effective the first day of the month following start of employment/eligibility.