Contribution Rates
Medical Plan
| Plan A | Plan B | Plan C | |
| Employee | $ | $ | $ |
| Employee + Spouse | $ | $ | $ |
| Employee + Child(ren) | $ | $ | $ |
| Employee + Family | $ | $ | $ |
Dental Plan
| Low Plan | High Plan | |
| Employee | $ | $ |
| Employee + Spouse | $ | $ |
| Employee + Child(ren) | $ | $ |
| Employee + Family | $ | $ |
Vision Plan
| Core Plan | Buy-Up Plan | |
| Employee | $ | $ |
| Employee + Spouse | $ | $ |
| Employee + Child(ren) | $ | $ |
| Employee + Family | $ | $ |