Medical Rates

2025 Rates PPO Plan– Per Pay Semi-Monthly Deductions effective 6/1/2025 Sales Staff Only

EE Only EE & Spouse EE & Child(ren) Family

Non-Smoker

$193.12

$385.17

$346.63

$450.14

Tobacco Surcharge

$253.26

$513.87

$456.68

$622.13

PPO Plan – Per Pay Bi-Weekly Deductions effective 6/1/2025 All Other Staff

EE Only EE & Spouse EE & Child(ren) Family

Non-Smoker

$178.27

$355.54

$319.96

$415.51

Tobacco Surcharge

$233.78

$474.34

$421.55

$574.27

HDHP Plan– Per Pay Semi-Monthly Deductions effective 6/1/2025 Sales Staff Only

EE Only EE & Spouse EE & Child(ren) Family

Non-Smoker

$122.13

$233.37

$216.56

$247.82

Tobacco Surcharge

$182.27

$362.06

$326.62

$419.81

HDHP Plan – Per Pay Bi-Weekly Deductions effective 6/1/2025 All Other Staff

EE Only EE & Spouse EE & Child(ren) Family

Non-Smoker

$112.74

$215.41

$199.90

$228.75

Tobacco Surcharge

$168.25

$334.20

$301.49

$387.51

Dental Rates

2025 Semi-Monthly Payroll Deductions – Sales Staff Only

Coverage Tier High PPO Standard PPO Flagship

Employee Only

$19.22

$8.34

$4.77

Employee + 1

$31.23

$13.56

$9.17

Employee + Family

$53.53

$23.25

$15.03

2025 Bi-Weekly Payroll Deductions – All Other Staff

Coverage Tier High PPO Standard PPO Flagship

Employee Only

$17.74

$7.70

$4.40

Employee + 1

$28.83

$12.52

$8.46

Employee + Family

$49.41

$21.46

$13.88

Vision Rates

Semi-Monthly Payroll Deduction – Sales Staff Only

Employee Only

$6.79

Employee + 1

$10.87

Employee + Children

$11.09

Employee + Family

$17.89

Bi-Weekly Payroll Deduction – All Other Staff

Employee Only

$6.27

Employee + 1

$10.03

Employee + Children

$10.24

Employee + Family

$16.51

Voluntary Life and AD&D Rates

Monthly Rate Per $1,000 of Benefit

Age Band1 Employee & Spouse Rate

< 30

$0.059

30-34

$0.067

35-39

$0.084

40-44

$0.134

45-49

$0.218

50-54

$0.420

55-59

$0.680

60-64

$0.815

65-69

$1.420

70-74

$3.377

75+

$12.944

Dep Child Rate = $1.80/mo2

1 Spouse premium based on age of Employee

2 Covers all Dependent Children regardless of number of children