Year:
Pay Freq:
Age:
Option
Carrier
Coverage
Rate
Health
351.96
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
359.74
Benefit Allowance
377.15
17.41
*This amount may vary from actual because of possible tax implications.