Payroll Deductions
Gold Plan
| Single Coverage |
| Health |
Dental |
Monthly Deduction |
Per Pay Deduction |
| Gold |
Gold |
$15.00 |
$7.50 |
| Gold |
Silver |
$7.50 |
$3.75 |
| Gold |
Bronze |
$7.50 |
$3.75 |
| Gold |
Opt-Out |
$7.50 |
$3.75 |
| Silver |
Gold |
$7.50 |
$3.75 |
| Bronze |
Gold |
$7.50 |
$3.75 |
| Opt-Out |
Gold |
$7.50 |
$3.75 |
| Family Coverage |
| Health |
Dental |
Monthly Deduction |
Per Pay Deduction |
| Gold |
Gold |
$37.50 |
$18.75 |
| Gold |
Silver |
$18.75 |
$9.38 |
| Gold |
Bronze |
$18.75 |
$9.38 |
| Gold |
Opt-Out |
$18.75 |
$9.38 |
| Silver |
Gold |
$18.75 |
$9.38 |
| Bronze |
Gold |
$18.75 |
$9.38 |
| Opt-Out |
Gold |
$18.75 |
$9.38 |
