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P. 12
US Mainland—Employee Pretax Medical
Contributions
Medical
Bi-Weekly* Weekly
Base—$2,000 PPO
Employee $42.00 $19.38
Employee/Spouse $182.28 $84.13
Employee/Child(ren) $164.92 $76.12
Family $260.39 $120.18
Choice—$1,000 PPO
Employee $82.62 $38.13
Employee/Spouse $267.59 $123.50
Employee/Child(ren) $242.10 $111.74
Family $382.27 $176.43
HDHP 1—$3,000 HDHP
Employee $16.11 $7.43
Employee/Spouse $127.88 $59.02
Employee/Child(ren) $115.69 $53.40
Family $182.68 $84.31
* During the two months in a year that have three pay periods (January and July), beneits will
only be deducted from the irst two paychecks.
12 2020 Benefits Guide
Contributions
Medical
Bi-Weekly* Weekly
Base—$2,000 PPO
Employee $42.00 $19.38
Employee/Spouse $182.28 $84.13
Employee/Child(ren) $164.92 $76.12
Family $260.39 $120.18
Choice—$1,000 PPO
Employee $82.62 $38.13
Employee/Spouse $267.59 $123.50
Employee/Child(ren) $242.10 $111.74
Family $382.27 $176.43
HDHP 1—$3,000 HDHP
Employee $16.11 $7.43
Employee/Spouse $127.88 $59.02
Employee/Child(ren) $115.69 $53.40
Family $182.68 $84.31
* During the two months in a year that have three pay periods (January and July), beneits will
only be deducted from the irst two paychecks.
12 2020 Benefits Guide
