Health Insurance Bi-Monthly Cost PPOHDHP 12 Month Employee9 Month Employee 12 Month Employee9 Month Employee Single Coverage Salary $40,000 or less $36.25 48.33 $30.00 $40.00 Salary $40,001 - $80,000 $50.00 66.67 Salary over $80,001 $59.00 78.67 Employee + Children Coverage Salary $40,000 or less $80.00 $106.67 $100.00 $133.33 Salary $40,001 - $80,000 $168.00 $224.00 Salary over $80,001 $210.00 $280.00 Family Coverage Salary $40,000 or less $96.75 $129.00 $150.00 $200.00 Salary $40,001 - $80,000 $225.75 $301.00 Salary over $80,001 $290.25 $387.00 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.