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Couple or Parent/Child(ren)

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

Estimated Required Contribution
Couple or Parent/Child(ren) Coverage
Member/Spouse/Partner or Parent/Child(ren)
Input the current year of the Ch. 78 implementation phase: Year
Input your Annual Salary:
Select the range that reflects your Annual Salary:
Input your total MONTHLY premium:
Select the number of paychecks you receive per year (Payment Mode):
This is your premium contribution %:
You pay the GREATER of the two numbers below: Contribution
The Required Health Care Contribution is calculated at:
$0.00 per pay period
($0.00 annualized)
The minimum contribution based on 1.5% of salary is:
$0.00 per pay period
($0.00 annualized)
Note: this calculator is for informational purposes only. All calculations are estimates and may differ from the actual amounts deducted from payroll.