Page 10 - 2016 Open Enrollment
P. 10
10
Employee Contribution Rates
2016 Employee Contributions (semi-monthly)
Medical/Prescription
Anthem Blue Cross Blue Shield Option A
Employee $80.00
Employee + spouse $210.00
Employee + child (ren) $177.00
Employee + family $285.00
Anthem Blue Cross Blue Shield Option B
Employee $52.00
Employee + spouse $150.00
Employee + child (ren) $130.00
Employee + family $210.00
Kaiser Permanente HMO(California residents Only)
Employee $68.00
Employee + spouse $190.00
Employee + child (ren) $161.00
Employee + family $266.00
Dental
Delta Dental PPO Plans Option A
Employee $18.78
Employee + spouse $34.32
Employee + child (ren) $51.56
Employee + family $69.81
Delta Dental PPO Plans Option B
Employee $7.92
Employee + spouse $17.00
Employee + child (ren) $28.45
Employee + family $39.89
First Bank
Employee Contribution Rates
2016 Employee Contributions (semi-monthly)
Medical/Prescription
Anthem Blue Cross Blue Shield Option A
Employee $80.00
Employee + spouse $210.00
Employee + child (ren) $177.00
Employee + family $285.00
Anthem Blue Cross Blue Shield Option B
Employee $52.00
Employee + spouse $150.00
Employee + child (ren) $130.00
Employee + family $210.00
Kaiser Permanente HMO(California residents Only)
Employee $68.00
Employee + spouse $190.00
Employee + child (ren) $161.00
Employee + family $266.00
Dental
Delta Dental PPO Plans Option A
Employee $18.78
Employee + spouse $34.32
Employee + child (ren) $51.56
Employee + family $69.81
Delta Dental PPO Plans Option B
Employee $7.92
Employee + spouse $17.00
Employee + child (ren) $28.45
Employee + family $39.89
First Bank
