Page 4 - 2015 NISC Open Enrollment

Monthly Employee Insurance Premiums

Medical

Premium
Employee $0.00
Employee + 1 $0.00
Family $0.00
Waive $83.34

Dental

Premium
Employee $0.00
Employee + 1 $53.00
Family $77.00
Waive $12.50

Vision

Premium
Employee $0.00
Employee + 1 $5.00
Family $12.00
Waive $4.18

Short-Term Disability

Premium
Employee $0.00

Long-Term Disability

Premium
Employee $0.00

Life Insurance

Premium
Employee $0.00
Spouse $0.00
Dependents $0.00

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