| Date of Hire Prior to 10/1/08 |
Bi-Weekly |
Monthly Premiums |
| Coverage Type |
Employee |
County |
Total |
Employee |
County |
Total |
| Employee Only |
$0.00 |
$223.45 |
$223.45 |
$0.00 |
$446.89 |
$446.89 |
| Employee + Family |
$70.00 |
$494.03 |
$564.03 |
$140.00 |
$988.06 |
$1128.06 |
| Date of Hire After 10/1/08 |
Bi-Weekly |
Monthly Premiums |
| Coverage Type |
Employee |
County |
Total |
Employee |
County |
Total |
| Employee Only |
$25.00 |
$198.45 |
$223.45 |
$50.00 |
$396.89 |
$446.89 |
| Employee + Family |
$175.00 |
$389.03 |
$564.03 |
$350.00 |
$778.56 |
$1128.06 |

Dental Coverage: FCL/Blue Cross Blue Shield
|
Dental Coverage: FCL/BCBS |
|
|
LOW |
|
HIGH |
|
EE |
County |
EE |
County |
|
SINGLE |
0 |
12.11 |
5.17 |
12.11 |
|
FAMILY |
26.51 |
12.11 |
43.02 |
12.11 |
|
www.bcbsfl.com

Life Insurance: The Hartford

| |
Benefit Amount |
Employee |
County |
| Basic Life AD&D |
$20,000 |
$0.00 |
$3.80 |
| Additional Life |
$10,000-$150,000 |
$3.00 per $10,000 |
$0.00 |
| Dependent Life |
$10,000 Spouse
$4,000 Child(ren) |
$1.76 |
$0.00 |

Section 125 Plan:
Provides health and life insurance benefits on a
non-taxable basis.

Optional Benefits
Optional Benefits are at the cost of the employee
