Health Insurance Single CoveragePPO Employee CostHDHP Employee Cost Salary $40,000 or less $36.25 $30.00 Salary $40,001 - $80,000 $50.00 Salary over $80,001 $59.00 Employee + Children CoveragePPO Employee CostHDHP Employee Cost Salary $40,000 or less $80.00 $100.00 Salary $40,001 - $80,000 $168.00 Salary over $80,001 $210.00 Family CoveragePPO Employee CostHDHP Employee Cost Salary $40,000 or less $96.75 $150.00 Salary $40,001 - $80,000 $225.75 Salary over $80,001 $290.25 Dental Insurance Coverage TypeEmployee Cost Single $14.67 Employee + One Dependent 28.75 Family $36.73 Vision Insurance Coverage TypeEmployee Cost Single $4.04 Employee + One Dependent $8.79 Family $14.15 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.