Page 12 - 2016 WFF Guide 2
P. 12
12
Cost of Coverage
A nthem M ed ical P lan
E mployee $ 1 3 0 .0 0
E mployee + spouse $ 5 0 0 .0 0
E mployee + child ( ren) $ 4 5 0 .0 0
F amily $ 8 0 0 .0 0
M E C M ed ical P lan
B ronz e G old
E mployee $ 3 9 .6 2 $ 8 8 .0 6
E mployee + spouse $ 9 2 .2 0 $ 1 8 3 .0 6
E mployee + 1 child $ 8 3 .2 7 $ 1 5 1 .3 3
F amily ( employee + $ 1 3 5 .8 5 $ 2 4 4 .2 5
spouse + 1 child )
E ach ad d itional child $ 3 9 .0 0 $ 3 9 .0 0
D ental C ov erage
O ption 1 O ption 2
E mployee $ 2 1 .1 8 $ 3 0 .6 1
E mployee + spouse $ 3 5 .2 2 $ 5 2 .0 3
E mployee + child ( ren) $ 3 8 .1 4 $ 6 5 .0 2
F amily $ 5 7 .6 2 $ 9 3 .6 5
V ision C ov erage
E mployee $ 5 .4 6
E mployee + spouse $ 1 0 .3 6
E mployee + child ( ren) $ 1 2 .1 6
F amily $ 1 7 .1 0
Cost of Coverage
A nthem M ed ical P lan
E mployee $ 1 3 0 .0 0
E mployee + spouse $ 5 0 0 .0 0
E mployee + child ( ren) $ 4 5 0 .0 0
F amily $ 8 0 0 .0 0
M E C M ed ical P lan
B ronz e G old
E mployee $ 3 9 .6 2 $ 8 8 .0 6
E mployee + spouse $ 9 2 .2 0 $ 1 8 3 .0 6
E mployee + 1 child $ 8 3 .2 7 $ 1 5 1 .3 3
F amily ( employee + $ 1 3 5 .8 5 $ 2 4 4 .2 5
spouse + 1 child )
E ach ad d itional child $ 3 9 .0 0 $ 3 9 .0 0
D ental C ov erage
O ption 1 O ption 2
E mployee $ 2 1 .1 8 $ 3 0 .6 1
E mployee + spouse $ 3 5 .2 2 $ 5 2 .0 3
E mployee + child ( ren) $ 3 8 .1 4 $ 6 5 .0 2
F amily $ 5 7 .6 2 $ 9 3 .6 5
V ision C ov erage
E mployee $ 5 .4 6
E mployee + spouse $ 1 0 .3 6
E mployee + child ( ren) $ 1 2 .1 6
F amily $ 1 7 .1 0
