Page 9 - SBCEO Benefit Guide 19-20_FINAL

Employee Contributions 9

Health Benefit Contributions For Part-Time Employees
This chart provides monthly contributions for SBCEO’s health benefit plans. Your cost for coverage will vary depending on the
option and level of coverage you choose. Employee contributions for Medical are deducted from your paycheck with pre-tax
dollars. This means that contributions are taken from your earnings before taxes, resulting in lower taxes and increased take
home pay.
Part Timer Pays SBCEO Pays Total Premium

Medical Plan:
Monthly Monthly Monthly
Anthem Classic 80% PPO Plan #40461E
50% FTE/20 Hours Per Week
Employee Only $364.75 $364.75 $729.50
Employee + 1 Dependent $711.00 $711.00 $1,422.00
Employee + Family $997.25 $997.25 $1,994.50
60% FTE/24 Hours Per Week

Employee Only $291.80 $437.70 $729.50
Employee + 1 Dependent $568.80 $853.20 $1,422.00
Employee + Family $797.80 $1,196.70 $1,994.50
65% FTE/26 Hours Per Week
Employee Only $255.33 $474.18 $729.50
Employee + 1 Dependent $497.70 $924.30 $1,422.00
Employee + Family $698.08 $1,296.43 $1,994.50
70% FTE/28 Hours Per Week
Employee Only $218.85 $510.65 $729.50
Employee + 1 Dependent $426.60 $995.40 $1,422.00
Employee + Family $598.35 $1,396.15 $1,994.50
75% FTE/30 Hours Per Week

Employee Only $182.38 $547.13 $729.50
Employee + 1 Dependent $355.50 $1,066.50 $1,422.00
Employee + Family $498.63 $1,495.88 $1,994.50
80% FTE/32 Hours Per Week
Employee Only $145.90 $583.60 $729.50
Employee + 1 Dependent $284.40 $1,137.60 $1,422.00
Employee + Family $398.90 $1,595.60 $1,994.50

85% FTE/34 Hours Per Week
Employee Only $109.43 $620.08 $729.50
Employee + 1 Dependent $213.30 $1,208.70 $1,422.00
Employee + Family $299.18 $1,695.33 $1,994.50
87.4% FTE/34.96 Hours Per Week

Employee Only $91.92 $637.58 $729.50
Employee + 1 Dependent $179.17 $1,242.83 $1,422.00
Employee + Family $251.31 $1,743.19 $1,994.50