Your Costs Per Paycheck

Health Care Plan	Coverage Level	Total Premium (Biweekly)	Amy’s Pays (Biweekly)	You Pay (Biweekly)
EPO	Employee Only	$500.45	$344.84	$155.61
	Employee + Spouse/DP	$1,073.39	$606.04	$467.35
	Employee + Child(ren)	$862.65	$509.96	$352.69
	Employee + Family	$1,486.51	$794.39	$692.12
PPO	Employee Only	$490.47	$423.64	$66.82
	Employee + Spouse/DP	$1,051.98	$781.15	$270.83
	Employee + Child(ren)	$845.45	$649.65	$195.79
	Employee + Family	$1,456.86	$1,038.93	$417.93
HDHP + HSA	Employee Only	$473.31	$419.85	$53.46
	Employee + Spouse/DP	$1,009.60	$792.94	$216.67
	Employee + Child(ren)	$826.49	$669.86	$156.64
	Employee + Family	$1,368.57	$1,034.22	$334.35
Anthem Dental	Employee Only	$31.01	$26.36	$4.65
	Employee + Spouse/DP	$63.92	$46.10	$17.82
	Employee + Child(ren)	$67.36	$48.17	$19.19
	Employee + Family	$108.85	$73.06	$35.79
VSP Vision	Employee Only	$5.06	$4.31	$0.76
	Employee + Spouse/DP	$8.10	$6.13	$1.98
	Employee + Child(ren)	$8.27	$6.23	$2.04
	Employee + Family	$13.34	$9.27	$4.07

2027 IRS Maximum Contributions

IRS contribution limits are subject to change. For the most up to date information, visit irs.gov.

Health Savings Account (HSA)

IRS Contribution Maximum: $4,500 / $9,000
Amy’s contributes: $1,000 Individual or $2,000 Family
You can contribute up to: $3,500 Individual or $7,000 Family

Flexible Spending Account (FSA)

You can contribute up to $3,500 annually to the Health Care FSA, and you may roll over up to $700 of unused Health Care FSA funds to the next plan year (calendar year).

Commuter Benefit

You can contribute up to $350/month for parking and or transit in the Commuter Benefit plan.
Amy’s matches your commuter contributions up to $50/month.

401(k)

Contribution limits are based on age:
Under age 50: $25,000 | 50-59: $33,000 | 60-63: $36,750 | 64+: $33,000

*A domestic partner and/or a domestic partner’s child(ren) is not considered a legal tax dependent under federal law. As a result, if you elect to have your partner or their children covered under your health plan(s), you will pay income tax and Social Security payroll tax on the portion of the insurance premium that your employer contributes towards the portion of cost for their coverage (this is known as imputed income). In addition, your portion of cost for their coverage will be deducted from your paycheck on an after-tax basis.