Your Costs
Per Pay Period Benefit Cost by Benefit Class
To calculate your monthly, pre-tax cost of benefits, use the interactive calculator below. First select your payroll class, then select your medical, dental, and vision plans and your respective enrollment status.
Benefits Cost Calculator
Select your class, plan, and coverage tier for each benefit to estimate your contribution.
Your Selections
Total
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Per Pay Period Benefits Cost Chart
The costs shown below are per pay period. All payroll deductions are pre-tax.
| Class | Salary Range |
|---|---|
| Class A | <$56,001 per year Base Salary |
| Class B | $56,001-$126,000 per year Base Salary |
| Class C | $126,000+ per year Base Salary |
| Class A | Limited HMO | Full HMO | OAP HDHP | OAP PPO | Dental DHMO | Dental DPPO | Vision |
|---|---|---|---|---|---|---|---|
| Employee Only | $34.50 | $132.00 | $73.50 | $256.50 | $2.70 | $10.90 | $1.50 |
| Employee + Spouse | $126.00 | $300.00 | $174.50 | $591.50 | $8.10 | $27.25 | $3.00 |
| Employee + Child(ren) | $116.50 | $278.00 | $161.50 | $548.00 | $9.50 | $32.25 | $2.50 |
| Employee + Family | $372.50 | $529.50 | $264.00 | $1,093.00 | $13.25 | $53.50 | $5.50 |
| Class B | Limited HMO | Full HMO | OAP HDHP | OAP PPO | Dental DHMO | Dental DPPO | Vision |
|---|---|---|---|---|---|---|---|
| Employee Only | $38.50 | $163.50 | $101.50 | $288.50 | $2.70 | $10.90 | $1.50 |
| Employee + Spouse | $167.50 | $355.00 | $351.00 | $723.00 | $8.10 | $27.25 | $3.00 |
| Employee + Child(ren) | $147.00 | $324.50 | $325.50 | $670.00 | $9.50 | $32.25 | $2.50 |
| Employee + Family | $386.00 | $603.50 | $614.00 | $1,192.50 | $13.25 | $53.50 | $5.50 |
| Class C | Limited HMO | Full HMO | OAP HDHP | OAP PPO | Dental DHMO | Dental DPPO | Vision |
|---|---|---|---|---|---|---|---|
| Employee Only | $64.50 | $195.00 | $144.00 | $320.50 | $2.70 | $10.90 | $1.50 |
| Employee + Spouse | $211.00 | $410.00 | $417.00 | $788.50 | $8.10 | $27.25 | $3.00 |
| Employee + Child(ren) | $196.00 | $371.00 | $386.50 | $731.00 | $9.50 | $32.25 | $2.50 |
| Employee + Family | $399.00 | $681.00 | $713.50 | $1,292.00 | $13.25 | $53.50 | $5.50 |


