Employee Cost Dental Plan Vision Plan Monthly 24 Deductions 20 Deductions Monthly 24 Deductions 20 Deductions Employee Only $7.12 $3.56 $4.28 Employee Only $1.16 $0.58 $0.70 Employee + $14.24 $7.12 $8.55 Employee + $2.31 $1.16 $1.39 Spouse Spouse Employee + $18.98 $9.49 $11.39 Employee + $2.33 $1.17 $1.40 Child(ren) Child(ren) Family $28.35 $14.18 $17.01 Family $3.72 $1.86 $2.23 SEE THIS PLAN SEE THIS PLAN

Noblesville Schools Employee Benefit Guide - Page 6 Noblesville Schools Employee Benefit Guide Page 5 Page 7