Page 4 - Future Steps

Benefits Enrollment

Semi-Monthly Employee Insurance Premiums

Medical

Premium
Employee $0.00
Employee +1 $0.00
Family $0.00
Waive $41.67

Dental

Premium
Employee $0.00
Employee +1 $26.50
Family $38.50
Waive $6.25

Vision
Premium
Employee $0.00
Employee +1 $2.50
Family $6.00
Waive $2.09

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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