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US Mainland —Employee Pretax Medical
Contributions

Medical
Bi-Weekly Weekly
Choice
Employee $105 .00 $52 .50
Employee/Spouse $310 .86 $155 .43
Employee/Child(ren) $273 .43 $136 .72
Family $479 .30 $239 .65
Buy-Up
Employee $72 .10 $36 .05
Employee/Spouse $241 .76 $120 .88
Employee/Child(ren) $360 .91 $180 .46
Family $380 .59 $190 .30

Base
Employee $54 .52 $27 .26
Employee/Spouse $204 .86 $102 .43
Employee/Child(ren) $177 .53 $88 .76
Family $327 .86 $163 .93
HDHP 1
Employee $46 .97 $23 .48
Employee/Spouse $176 .53 $88 .27
Employee/Child(ren) $152 .98 $76 .49
Family $282 .55 $141 .27
HDHP 2
Employee $49 .33 $24 .66
Employee/Spouse $184 .97 $92 .49
Employee/Child(ren) $160 .31 $80 .16
Family $295 .96 $147 .98

12 2019 Benefits Guide