Employer Premium Contribution
Employee Premium Details
Carrier
Anthem Blue Cross
Plan
Anthem Silver PPO 2000
Metallic Tier
Silver
Plan Type
PPO
Census
Relationship
Age
Total Premium
ER Total
EE Total
Employee 1
Maria Gonzalez
EE
45
$612.40
$306.20
$306.20
Spouse
47
$548.10
$274.05
$274.05