Estimated Contribution Calculator

Estimated Calculator

Estimated Calculator for

Enter your information below to calculate your estimated contribution on a per paycheck basis:

Estimated Required Contribution
The current year of the Ch. 78 implementation phase: Year 4
Select each program's plan and tier:
Medical Program


-
Pharmacy Program


-
Dental Program


-
Vision Program


-
This is your monthly premium total
(medical + pharmacy
+ dental
+ vision
programs):
Monthly Premium
-
Input your Annual Salary: Annual Salary
$
Select the number of paychecks you receive per year: Payroll Frequency
This is your premium contribution %: Prem Contr. %
Medical:
-
Pharmacy:
-
Dental:
-
Vision:
-

/

Contribution
The Estimated contribution is:
Medical:
-
Pharmacy:
-
Dental:
-
Vision:
-
Total: -
Note: This calculator is for informational purposes only.
All calculations are estimates and may differ from the actual amounts deducted from payroll.
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