Opt-Out forms will be accepted during an individual’s initial benefit eligibility period, open enrollment, or at the time of a qualifying life event. This will allow you to save the cost of deductions and earn back up to $4,000 for family coverage or $2,500 for single coverage.
|
Salary Range |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
|
less than 20,000 |
1.13% |
2.25% |
3.38% |
4.50% |
|
20,000-24,999.99 |
1.38% |
2.75% |
4.13% |
5.50% |
|
25,000-29,999.99 |
1.88% |
3.75% |
5.63% |
7.50% |
|
30,000-34,999.99 |
2.50% |
5.00% |
7.50% |
10.00% |
|
35,000-39,999.99 |
2.75% |
5.50% |
8.25% |
11.00% |
|
40,000-44,999.99 |
3.00% |
6.00% |
9.00% |
12.00% |
|
45,000-49,999.99 |
3.50% |
7.00% |
10.50% |
14.00% |
|
50,000-54,999.99 |
5.00% |
10.00% |
15.00% |
20.00% |
|
55,000-59,999.99 |
5.75% |
11.50% |
17.25% |
23.00% |
|
60,000-64,999.99 |
6.75% |
13.50% |
20.25% |
27.00% |
|
65,000-69,999.99 |
7.25% |
14.50% |
21.75% |
29.00% |
|
70,000-74,999.99 |
8.00% |
16.00% |
24.00% |
32.00% |
|
75,000-79,999.99 |
8.25% |
16.50% |
24.75% |
33.00% |
|
80,000-94,999.99 |
8.50% |
17.00% |
25.50% |
34.00% |
|
95,000 and over |
8.75% |
17.50% |
26.25% |
35.00% |
|
Salary Range |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
|
less than 25,000 |
0.75% |
1.50% |
2.25% |
3.00% |
|
25,000-29,999.99 |
1.00% |
2.00% |
3.00% |
4.00% |
|
30,000-34,999.99 |
1.25% |
2.50% |
3.75% |
5.00% |
|
35,000-39,999.99 |
1.50% |
3.00% |
4.50% |
6.00% |
|
40,000-44,999.99 |
1.75% |
3.50% |
5.25% |
7.00% |
|
45,000-49,999.99 |
2.25% |
|
6.75% |
9.00% |
|
50,000-54,999.99 |
3.00% |
6.00% |
9.00% |
12.00% |
|
55,000-59,999.99 |
3.50% |
7.00% |
10.50% |
14.00% |
|
60,000-64,999.99 |
4.25% |
8.50% |
12.75% |
17.00% |
|
65,000-69,999.99 |
4.75% |
9.50% |
14.25% |
19.00% |
|
70,000-74,999.99 |
5.50% |
11.00% |
16.50% |
22.00% |
|
75,000-79,999.99 |
5.75% |
11.50% |
17.25% |
23.00% |
|
80,000-84,999.99 |
6.00% |
12.00% |
18.00% |
24.00% |
|
85,000-89,999.99 |
6.50% |
13.00% |
19.50% |
26.00% |
|
90,000-94,999.99 |
7.00% |
14.00% |
21.00% |
28.00% |
|
95,000-99,999.99 |
7.25% |
14.50% |
21.75% |
29.00% |
|
100,000-109,999.99 |
8.00% |
16.00% |
24.00% |
32.00% |
|
110,000 and over |
8.75% |
17.50% |
26.25% |
35.00% |
