EE cost share-FY17.xlsx
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Health Benefits-Employee ShareHealth Benefits-Employee Share
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10/2015-9/201610/2016-9/2017
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Monthly PremiumEmployee Monthly Cost ShareMonthly PremiumEmployee Monthly Cost Share
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Kaiser HMO10/2015-9/201610/2015-9/201610/2016-9/201710/2016-9/2017
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Employee Only$544.15$54.42$561.00$56.10
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Employee + Spouse$1,305.95$130.60$1,346.85$134.69
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Employee + Children$952.26$95.23$982.09$98.21
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Family$1,659.65$165.97$1,711.64$171.16
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Monthly PremiumEmployee Monthly Cost ShareMonthly PremiumEmployee Monthly Cost Share
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Kaiser HRA10/2015-9/201610/2015-9/201610/2016-9/201710/2016-9/2017
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Employee Only$424.62$42.46$446.78$44.68
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Employee + Spouse$1,019.10$101.91$1,072.28$107.23
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Employee + Children$743.09$74.31$781.87$78.19
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Family$1,295.10$129.51$1,362.69$136.27
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Monthly PremiumEmployee Monthly Cost ShareMonthly PremiumEmployee Monthly Cost Share
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Delta Dental10/2015-9/201610/2015-9/201610/2016-9/201710/2016-9/2017
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Employee Only$68.00$6.80$68.00$6.80
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Employee + 1 dependent
$126.00$12.60$126.00$12.60
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Employee + 2 or more dependents$181.00$18.10$181.00$18.10
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Monthly PremiumEmployee Monthly Cost ShareMonthly PremiumEmployee Monthly Cost Share
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VSP 10/2015-9/201610/2015-9/201610/2016-9/201710/2016-9/2017
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Member Only$10.37$1.04$10.37$1.04
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Member + 1$22.12$2.21$22.12$2.21
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Member + Child(ren)$22.58$2.26$22.58$2.26
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Family$36.40$3.64$36.40$3.64
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FY16 EE Contributions