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Employee Medical Premiums (Weekly/Bi-Weekly)
This chart illustrates your weekly, bi-weekly, and monthly pre-tax contributions for each of the Optimas medical
plans.
Consumer HSA Choice Plus Traditional Choice Plus PPO Plan
Weekly Bi-Weekly Monthly Weekly Bi-Weekly Monthly
Employees Earning <$35K
Employee only $13.96 $27.92 $60.50 $20.00 $40.00 $86.67
Employee + spouse $59.22 $118.44 $256.63 $68.41 $136.83 $296.46
Employee + child(ren) $33.36 $66.73 $144.58 $40.00 $80.01 $173.35
Family $70.34 $140.69 $304.82 $80.41 $160.83 $348.46
Employees Earning between $35K–$50K
Employee only $17.77 $35.54 $77.00 $29.34 $58.67 $127.12
Employee + spouse $70.34 $140.69 $304.82 $89.75 $179.50 $388.91
Employee + child(ren) $43.10 $86.19 $186.75 $57.34 $114.67 $248.46
Family $87.03 $174.06 $377.12 $111.08 $222.17 $481.36
Employees Earning between $50K–$75K
Employee only $22.85 $45.69 $99.00 $36.00 $72.00 $156.01
Employee + spouse $81.47 $162.93 $353.02 $109.75 $219.50 $475.58
Employee + child(ren) $54.22 $108.44 $234.95 $78.67 $157.34 $340.91
Family $102.32 $204.64 $443.38 $139.08 $278.17 $602.70
Employees Earning between 75K–$100K
Employee only $25.38 $50.77 $110.00 $44.00 $88.01 $190.68
Employee + spouse $89.81 $179.61 $389.16 $125.75 $251.50 $544.92
Employee + child(ren) $62.56 $125.12 $271.09 $96.01 $192.01 $416.03
Family $116.22 $232.44 $503.62 $168.42 $336.84 $729.82
Employees Earning >$100K
Employee only $34.27 $68.54 $148.50 $58.67 $117.34 $254.24
Employee + spouse $109.27 $218.54 $473.50 $161.75 $323.51 $700.93
Employee + child(ren) $80.63 $161.27 $349.41 $128.01 $256.02 $554.71
Family $144.03 $288.05 $624.11 $216.42 $432.85 $937.84
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This chart illustrates your weekly, bi-weekly, and monthly pre-tax contributions for each of the Optimas medical
plans.
Consumer HSA Choice Plus Traditional Choice Plus PPO Plan
Weekly Bi-Weekly Monthly Weekly Bi-Weekly Monthly
Employees Earning <$35K
Employee only $13.96 $27.92 $60.50 $20.00 $40.00 $86.67
Employee + spouse $59.22 $118.44 $256.63 $68.41 $136.83 $296.46
Employee + child(ren) $33.36 $66.73 $144.58 $40.00 $80.01 $173.35
Family $70.34 $140.69 $304.82 $80.41 $160.83 $348.46
Employees Earning between $35K–$50K
Employee only $17.77 $35.54 $77.00 $29.34 $58.67 $127.12
Employee + spouse $70.34 $140.69 $304.82 $89.75 $179.50 $388.91
Employee + child(ren) $43.10 $86.19 $186.75 $57.34 $114.67 $248.46
Family $87.03 $174.06 $377.12 $111.08 $222.17 $481.36
Employees Earning between $50K–$75K
Employee only $22.85 $45.69 $99.00 $36.00 $72.00 $156.01
Employee + spouse $81.47 $162.93 $353.02 $109.75 $219.50 $475.58
Employee + child(ren) $54.22 $108.44 $234.95 $78.67 $157.34 $340.91
Family $102.32 $204.64 $443.38 $139.08 $278.17 $602.70
Employees Earning between 75K–$100K
Employee only $25.38 $50.77 $110.00 $44.00 $88.01 $190.68
Employee + spouse $89.81 $179.61 $389.16 $125.75 $251.50 $544.92
Employee + child(ren) $62.56 $125.12 $271.09 $96.01 $192.01 $416.03
Family $116.22 $232.44 $503.62 $168.42 $336.84 $729.82
Employees Earning >$100K
Employee only $34.27 $68.54 $148.50 $58.67 $117.34 $254.24
Employee + spouse $109.27 $218.54 $473.50 $161.75 $323.51 $700.93
Employee + child(ren) $80.63 $161.27 $349.41 $128.01 $256.02 $554.71
Family $144.03 $288.05 $624.11 $216.42 $432.85 $937.84
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