Year:
Pay Freq:
Age:
Option
Carrier
Coverage
Rate
Health
321.42
Dental
0.00
Vision
0.00
Supplemental Life
0.00
Dependent Life
0.00
Basic Life
2.60
Disability
5.18
Savings Accounts
Flexible Spending Account
0.00
Dependent Care Account
0.00
Totals
Total Benefit Cost
329.20
Benefit Allowance
376.79
47.59
*This amount may vary from actual because of possible tax implications.