| Benefit |
Your Plan |
|
| |
| Medical |
HRA Choice Fund, Employee + Family |
$630.93 |
| Dental |
PPO Standard Dental Plan, Employee + One |
$70.00 |
| Flexible
Spending |
Health Care Reimbursement Account, $2,400 |
$200.00 |
|
Dependent Care Reimbursement Account, $3,600 |
$300.00 |
| Disability |
Short Term Disability, $30,000 |
$2.17 |
|
Long Term Disability, $18,000 |
$1.03 |
|
| Life |
Basic Life Insurance, 1X Salary |
$1.83 |
|
Supplemental Life Insurance, 2X Salary |
$2.42 |
|
Spouse - Dependent Life Insurance, $50,000 |
$1.11 |
| Total All Benefits |
|
|
$1209.49 |
|
| |
| For All Benefits |
|
Monthly |
| Total Cost All Benefits |
|
$1209.49 |
|
| Employer Total Contribution |
|
$553.36 |
|
| Your Total Contribution |
|
$656.13 |
|
|