Plan A

Employee

53.82

56.12

4.3

Employee + 1 dependent

102.20

106.56

4.3

Employee + 2 or more dependents

161.42

168.32

4.3

Plan B

Employee

47.44

49.48

4.3

Employee + 1 dependent

88.26

92.04

4.3

Employee + 2 or more dependents

145.48

151.70

4.3

Plan C

Employee

38.78

40.44

4.3

Employee + 1 dependent

74.68

77.88

4.3

Employee + 2 or more dependents

122.10

127.32

4.3

Plan D

Employee

49.96

52.10

4.3

Employee + 1 dependent

105.46

109.96

4.3

Employee + 2 or more dependents

156.14

162.82

4.3

Plan E

Employee

49.66

51.78

4.3

Employee + 1 dependent

92.32

96.26

4.3

Employee + 2 or more dependents

151.82

158.30

4.3

Plan F

Employee

55.88

58.28

4.3

Employee + 1 dependent

105.68

110.20

4.3

Employee + 2 or more dependents

165.42

172.48

4.3

Plan G

Employee

54.72

57.06

4.3

Employee + 1 dependent

103.52

107.94

4.3

Employee + 2 or more dependents

171.12

178.44

4.3

Plan J

Employee

57.78

60.26

4.3

Employee + 1 dependent

109.28

113.96

4.3

Employee + 2 or more dependents

171.06

178.38

4.3

Plan I

Employee

.00

.00

0

Employee + 1 dependent

.16

.18

6.3

Employee + 2 or more dependents

9.88

10.30

4.3

Plan II

Employee

.00

.00

0

Employee + 1 dependent

.42

.44

4.8

Employee + 2 or more dependents

19.74

20.58

4.3

Plan III

Employee

1.26

1.32

4.0

Employee + 1 dependent

3.12

3.26

4.2

Employee + 2 or more dependents

22.22

23.18

4.3

Plan IV

Employee

.00

.00

0

Employee + 1 dependent

1.06

1.12

4.7

Employee + 2 or more dependents

35.44

36.96

4.3

Plan V

Employee

2.50

2.62

4.4

Employee + 1 dependent

5.80

6.06

4.3

Employee + 2 or more dependents

39.80

41.50

4.3