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Employee Rates

(Rates below are deducted per biweekly pay period)

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Medical: Huntington Choice Plan

		EMPLOYEE COST (per pay period)
	Coverage Level	Full-Time Status	Part-Time Status
	Employee	$18.00	$36.00
	Employee + Spouse	$58.00	$97.00
	Employee + Domestic Partner*	$58.00	$97.00
	Employee + Child(ren	$51.00	$85.00
	Employee + Spouse and Child(ren)	$86.00	$144.00
	Employee + Domestic Partner and Child(ren)*	$86.00	$144.00
	Waive Coverage	-$20.00	-$18.00

Dental: DeltaCare USA

		EMPLOYEE COST (per pay period)
	Coverage Level	Full-Time Status	Part-Time Status
	Employee	$0.00	$0.00
	Employee + Spouse	$3.25	$4.00
	Employee + Domestic Partner*	$3.25	$4.00
	Employee + Child(ren	$4.00	$4.75
	Employee + Spouse and Child(ren)	$9.00	$9.75
	Employee + Domestic Partner and Child(ren)*	$9.00	$9.75
	Waive Coverage	-$8.00	-$7.00

Dental: Delta Preferred

		EMPLOYEE COST (per pay period)
	Coverage Level	Full-Time Status	Part-Time Status
	Employee	$6.00	$6.75
	Employee + Spouse	$26.00	$26.75
	Employee + Domestic Partner*	$26.00	$26.75
	Employee + Child(ren	$28.00	$28.75
	Employee + Spouse and Child(ren)	$45.00	$45.75
	Employee + Domestic Partner and Child(ren)*	$45.00	$45.75
	Waive Coverage	$8.00	-$7.00

Dental: Delta Preferred Plus

		EMPLOYEE COST (per pay period)
	Coverage Level	Full-Time Status	Part-Time Status
	Employee	$16.00	$17.00
	Employee + Spouse	$46.00	$48.00
	Employee + Domestic Partner*	$46.00	$48.00
	Employee + Child(ren	$49.00	$50.00
	Employee + Spouse and Child(ren)	$75.00	$76.00
	Employee + Domestic Partner and Child(ren)*	$75.00	$76.00
	Waive Coverage	-$8.00	-$7.00

Vision: Vision Service Plan (VSP)

		EMPLOYEE COST (per pay period)
	Coverage Level	Full-Time Status	Part-Time Status
	Employee	$0.00	$0.00
	Employee + Spouse	$3.65	$3.90
	Employee + Domestic Partner*	$3.65	$3.90
	Employee + Child(ren	$3.75	$4.00
	Employee + Spouse and Child(ren)	$6.00	$6.25
	Employee + Domestic Partner and Child(ren)*	$6.00	$6.25
	Waive Coverage	-$2.00	-$2.00

*Please refer to www.hhbenefits.com or the Benefits Guide for information on inputed income and IRS Guidelines for Domestic Partners.

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