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.

EMPLOYEE ONLY EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN EMPLOYEE & FAMILY UNITEDHEALTHCARE ALL SAVERS MEDICAL PLANS*

PPO 1000

CHOICE PLUS NETWORK

26 PAYS

$0.00 $160.28 $131.14 $291.42 HDHP 3000

CHOICE PLUS NETWORK

26 PAYS

$0.00 $125.09 $102.35 $227.44

EMPLOYEE ONLY EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN EMPLOYEE & FAMILY DENTAL PLAN

26 PAYS $13.90 $27.80 $28.91 $42.80

VISION PLAN

26 PAYS $2.23 $4.46 $3.93 $6.16

*Elite Microwave Solutions pays $4,124.40/year towards the premium for each plan. This includes a $69.32/month contribution to the Health Savings Account (H.S.A.) of those enrolled in the HDHP 3000 base plan.