Employee Cost Coverage Through Anthem Cost Per Pay Period Exam Only Coverage Through Anthem Coverage Through Delta Dental Exam + Materials Through Delta Vision Cost Per Pay Period MEDICAL Cost Per Pay Period DENTAL VISION HDHP PPO Employee Only $47.26 $86.73 Exam Exam + Employee Only $8.74 Materials Employee + Spouse $18.38 Employee + Spouse $251.50 $334.38 Employee Only $0 $1.43 Employee + Child(ren) $21.76 Employee + Spouse $0 $2.85 Employee + Child(ren) $195.80 $266.84 Employee + $0 $3.06 Family $32.43 Child(ren) Family $400.03 $514.49 Family $0 $4.88 SEE THIS PLAN SEE THIS PLAN SEE THIS PLAN