Health Insurance Bi-Monthly Cost PPOHDHP 12 Month Employee9 Month Employee 12 Month Employee9 Month Employee Single Coverage Grandfathered $39.51 $52.68 $32.50 $43.33 Standard $54.50 $72.67 AssistancePlan $4.50 $6.00 Employee + Children Coverage Grandfathered $87.20 $116.27 $109.00 $145.33 Standard $183.00 $244.00 Assistance Plan $133.00 $177.33 Family Coverage Grandfathered $105.46 $140.61 $163.50 $218.00 Standard $246.50 $328.67 Assistance Plan $196.50 $262.00 Dental Insurance Bi-Monthly Cost Coverage Type12 Month9 Month Single $15.41 $20.55 Employee + One Dependent $30.19 $40.25 Family $38.57 $51.43 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.
