Employee Rate Sheet Use this sheet for your per-paycheck benefit costs for the upcoming plan year. This is a great place to start planning for your, and your family’s, health and wellness for next year.
UNITEDHEALTHCARE ALL SAVERS MEDICAL PLANS*
PPO 1000
CHOICE PLUS NETWORK
EMPLOYEE ONLY EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN EMPLOYEE & FAMILY
EMPLOYEE ONLY EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN EMPLOYEE & FAMILY
HDHP 3000
CHOICE PLUS NETWORK
26 PAYS
26 PAYS
$0.00 $177.71 $145.40 $323.11
$0.00 $138.91 $113.65 $252.56
DENTAL PLAN
VISION PLAN
26 PAYS
26 PAYS
$13.90 $27.80 $28.91 $42.80
$2.23 $4.46 $3.93 $6.16
*Elite Microwave Solutions pays $4,536.60/year towards the premium for each plan. This includes a $76.44/month contribution to the Health Savings Account (H.S.A.) of those enrolled in the HDHP 3000 base plan.
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