**If you and/or your covered spouse were covered on the medical plan before 8/1/25 and did not complete the 2025 Wellness Program Requirements, you will be subject to the wellness surcharge of $50 per paycheck in addition to the medical plan contribution.
Dental Plans: Employee Contributions
Delta Dental Per Pay Deductions
Base Dental
Enhanced Dental
Employee Only
$8.11
$15.07
Employee + Spouse
$16.23
$30.15
Employee + Child(ren)
$22.10
$40.66
Employee + Family
$31.53
$58.58
New Rates Effective 1/1/2026
Vision Plan: Employee Contributions
EyeMed Vision Plan Employee Contributions (bi-weekly)