15 CITY OF LAMAR 2025 MONTHLY CONTRIBUTIONS FOR BENEFITS MEDICAL PPO B2000 TOTAL PREMIUM CITY EMPLOYEE MONTHLY EMPLOYEE PER PAYCHECK Employee Only $1,035.00 $776.25 $258.75 $129.38 Employee + $1,941.00 $1,455.75 $485.25 $242.63 Employee + Two or More Dependents $2,385.00 $1,788.75 $596.25 $298.13 MEDICAL HDHP 2500 TOTAL PREMIUM CITY EMPLOYEE MONTHLY EMPLOYEE PER PAYCHECK Employee Only $906.00 $679.50 $226.50 $113.25 Employee + $1,698.00 $1,273.50 $424.50 $212.25 Employee + Two or More Dependents $2,088.00 $1,566.00 $522.00 $261.00 DENTAL PLAN A TOTAL PREMIUM CITY EMPLOYEE MONTHLY EMPLOYEE PER PAYCHECK Employee Only $38.00 $28.50 $9.50 $4.75 Employee + $75.90 $56.92 $18.98 $9.49 Employee + Two or More Dependents $98.55 $73.91 $24.64 $12.32 DENTAL PLAN B TOTAL PREMIUM CITY EMPLOYEE MONTHLY EMPLOYEE PER PAYCHECK Employee Only $19.65 $14.73 $4.92 $2.46 Employee + $39.45 $29.59 $9.86 $4.93 Employee + Two or More Dependents $51.25 $38.43 $12.82 $6.41 VISION TOTAL PREMIUM CITY EMPLOYEE MONTHLY EMPLOYEE PER PAYCHECK Employee Only $6.00 $0.00 $6.00 $3.00 Employee + $11.92 $0.00 $11.92 $5.96 Employee + Two or More Dependents $15.50 $0.00 $15.50 $7.75 EMPLOYEE CONTRIBUTIONS
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