AE Eligibility

Bi-Weekly ContributionsEmployee OnlyEmployee + SpouseEmployee + Child(ren)Employee + Family
Traditional HMO
Wellness$204.81$524.29$471.04$737.27
Non-Wellness$225.29$576.72$518.14$811.00
Deductible HMO
Wellness$118.76$335.60$263.43$478.04
Non-Wellness$130.64$369.16$289.78$525.84
Tobacco Surcharge$17.31 added per pay period, per tobacco user