Year:
Pay Frequency:
Age:
Option
Carrier
Coverage
Rate
Health
300.39
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
308.17
Benefit Allowance
362.79
54.62
*This amount may vary from actual because of possible tax implications.