Employee Cost: Dental & Vision Goshen Schools Pays Goshen Employee Pays Total Cost Employee Only $9.88 $19.76 $30.00 Employee + Spouse $39.17 $78.34 $59.00 Employee + Child(ren) $28.66 $57.32 $49.00 Family $53.62 $107.84 $74.00 Dental Vision Goshen Pays (26 Pays) You Pay (26 Pays) Goshen Pays (20 Pays) You Pay (20 Pays) You Pay (26 Pays) You Pay (20 Pays) ALL ELIGIBLE EMPLOYEES (Including 75/80/90/100% Teachers) Employee $12.37 $4.87 $16.08 $6.33 ALL EMPLOYEES Employee $3.30 $4.29 Employee + Spouse $25.09 $7.07 $32.62 $9.19 Employee + Spouse $6.60 $8.58 Employee + Child(ren) $27.10 $7.63 $35.23 $9.92 Employee + Child(ren) $7.07 $9.19 Family $41.53 $11.69 $53.99 $15.20 Family $11.29 $14.68 40/50/90/70% TEACHER Employee $8.42 $8.82 $10.94 $11.47 Employee + Spouse $17.12 $15.04 $22.26 $19.55 Employee + Child(ren) $18.49 $16.25 $24.04 $21.12 Family $28.33 $24.89 $36.83 $32.35 SUPPORT SCHOOL YEAR / SEC / BOOKKEEP Employee $10.38 $6.85 $13.50 $8.91 Employee + Spouse $21.40 $10.76 $27.82 $13.99 Employee + Child(ren) $23.10 $11.63 $30.04 $15.12 Family $35.40 $17.82 $46.03 $23.16