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     BENEFIT COSTS
        Your bi-weekly payroll contributions for medical, dental and vision benefits are shown here:
                Medical              Base (HSA)             Gold                Platinum
         Associate Only               $47.54                $92.46               $114.54
         Associate/Spouse             $131.51              $292.44               $331.87
         Associate/Children           $100.11              $186.45               $216.67
         Family                       $204.50              $414.81               $467.25
                 Dental                Basic               Premium
         Associate Only                $6.98                $9.31
         Associate/Spouse             $15.01                $17.52
         Associate/Family             $24.16                $27.95
                 Vision             Vision Plan
         Associate Only                $2.39
         Associate/Spouse              $5.32
         Associate/Children            $4.78
         Family                        $8.27
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