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HEALTH PLANSTIER LEVEL PLAN 1 PLAN 2 PLAN 3EMPLOYEE $0 cost to Employee $0 cost to Employee $0 cost to EmployeeEMPLOYEE + SPOUSE $645.36 $681.96 $685.45EMPLOYEE +CHILD(REN) $548.55 $579.67 $582.63FAMILY $919.63 $971.79 $976.76DENTAL PLANTIER LEVEL METLIFE DENTALEMPLOYEE $0 cost to EmployeeEMPLOYEE + SPOUSE $31.32EMPLOYEE + CHILD(REN) $32.23FAMILY $51.30VISION PLANTIER LEVEL METLIFE VISIONEMPLOYEE $0 cost to EmployeeEMPLOYEE + SPOUSE $3.94EMPLOYEE + CHILD(REN) $3.34FAMILY $5.51BENEFITS COSTINSURANCERates displayed are on a per-pay basis.38
