Medical

Per Pay Period* Benefit Costs

*Note: Premiums listed above are per pay period. While payroll is every 26 weeks, benefit deductions will be taken out of 24 pay periods. Refer to the Asset Living payroll calendar to determine which pay periods are premium free.

YOU PAY	BASE $5,500 COPAY PLAN	HDHP $3,200 HSA PLAN	BUY-UP $1,500 PLAN
Employee Only	$18.22	$37.89	$165.39
Employee + Spouse	$362.14	$415.79	$687.00
Employee + Child(ren)	$290.93	$337.57	$582.85
Employee + Family	$631.05	$711.20	$1,080.32

Reminder:

Be sure to register at www.AssetLivingBenefits.com to review claim status, benefits, coverage details and more.

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