FTE:
%
      
BASE PLAN - Oak Monthly premiums
Benefit ChoiceTotal PremiumEmployer ShareEmployee Share
Employee Only$833.00   $833.00   $0   
Employee + Spouse/Partner$1665.00   $1665.00   $0   
Employee + Child/Children$1343.00   $1343.00   $0   
Employee + Family$2056.00   $2056.00   $0   

 
Spruce Monthly premiums
Benefit ChoiceTotal PremiumEmployer ShareEmployee Share
Employee Only$651.00   $651.00   $0   
Employee + Spouse/Partner$1302.00   $1302.00   $0   
Employee + Child/Children$1045.00   $1045.00   $0   
Employee + Family$1603.00   $1603.00   $0   

 
Pine Monthly premiums
Benefit ChoiceTotal PremiumEmployer ShareEmployee Share
Employee Only$459.00   $459.00   $0   
Employee + Spouse/Partner$919.00   $919.00   $0   
Employee + Child/Children$768.00   $768.00   $0   
Employee + Family$958.00   $958.00   $0   

 
Maple Monthly premiums
Benefit ChoiceTotal PremiumEmployer ShareEmployee Share
Employee Only$584.00   $584.00   $0   
Employee + Spouse/Partner$1168.00   $1168.00   $0   
Employee + Child/Children$1054.00   $1054.00   $0   
Employee + Family$1551.00   $1551.00   $0