Anthem Silver PPO 2000
Plan Type
PPO
Plan Tier
Silver
Deductible
$2,000
Office Visits
$30 copay
Maximum
Out-Of-Pocket
$8,500
EE Contribution 50%
Dependent Contribution 25%
Total Premium for All
$4,182.55/mo
$4,182.55/mo
Employer Contribution
$2,091.27/mo
$2,091.27/mo
| Premium Summary | |
| Employee Contribution: | 50% Employee / 25% Dependents |
|---|---|
| Estimated Monthly Premium - Employer | $2,091.27 |
| Estimated Monthly Premium - All Employees: | $4,182.55 |
|
Total Estimated Monthly Premium:
$4,182.55 /month
|
|
Change Contribution
| Employee Premium Details | |||||
| Census | Relationship | Age | Total premium | Employer Total | Employee Total |
|---|---|---|---|---|---|
| Maria Gonzalez | EE
|
45 |
$612.40 |
$306.20 | $306.20 |
Spouse
|
47 |
$548.10 |
$274.05 | $274.05 | |
| Employee 1 Total | $1,160.50 | $580.25 |
$580.25 | ||
| James Whitfield | EE
|
35 |
$471.30 |
$235.65 | $235.65 |
| Employee 2 Total | $471.30 | $235.65 |
$235.65 | ||
| Totals: | $1,631.80 | $815.90 | $815.90 | ||