BENEFIT COSTS Deducted from your paycheck bi-weekly Benefit Employee Only Employee + Spouse Employee + Child(ren) Family Medical $18.66 $161.19 $116.97 $182.90 Dental $0.98 $8.98 $8.32 $11.70 Vision, HRA, Basic life & Disability, BenefitHub, $0 Gradfin & Compt Voluntary Life Age banded 401(k), FSA & DCA Employee contributions vary
ABC Company Benefit Guide Page 2 Page 4