Employee Only Coverage

Total Annual Cost

$348.36

Employer Annual Cost

$348.36

Employee Annual Cost

$0.00

Employee Cost Per Paycheck

$0.00

Employee + Spouse Coverage

Total Annual Cost

$696.84

Employer Annual Cost

$348.36

Employee Annual Cost

$348.48

Employee Cost Per Paycheck

$13.40

Employee + Child(ren)Coverage

Total Annual Cost

$729.12

Employer Annual Cost

$348.36

Employee Annual Cost

$380.76

Employee Cost Per Paycheck

$14.64

Employee + Family

Total Annual Cost

$1,113.00

Employer Annual Cost

Employee Annual Cost

$348.36

$764.64

Employee Cost Per Paycheck

$29.41