AFNAF Life and AD&D Coverage Bi Weely Rates Effective Pay Period 08A 23 Dec 2012 - 21 Dec 2013 Coverage Plan Codes Life and AD&D for Employee (per $1,000 coverage) EO Life Only for Family Members (Flat Rate) Low Option (Plus E0 Rate) High Option (Plus E0 Rate)
E1 E2
Employee 54% NAFI 46% Total $0.29 $0.25 $0.54
$0.19 -$1.81 --
$0.19 $1.81
DOD Health/Dental Coverage Bi Weely Rates Effective Pay Period 08A 23 Dec 2012 - 21 Dec 2013 Coverage
Plan Codes
Medical for Employee Only
L or 1
Dental for Employee Only
Employer 70% Employer PRM Employer Total Employee 30% Total Premium $162.51
$50.00
$212.51
$69.65
$282.16
$10.19
$2
$12.19
$4.36
$16.55
Medical & Dental for Employee Only
T or R
$172.70
$52
$224.70
$74.01
$298.71
Medical for Employee with Family Members
Q or 2
$378.10
$50
$428.10
$162.04
$590.14
$24.07
$2
$26.07
$10.32
$36.39
$402.17
$52
$454.17
$172.36
$626.53
Dental for Employee with Family Members Medical & Dental for Employee with Family Members U or S
The bi-weekly premium deductions for the Stand Alone Dental Plan are listed below. Employee pays 100% of the premium. Pre tax single plan code is numeric "0". All other plan codes are alpha. Coverage
Pre Tax
Post Tax
Total Premium
Single
0
0
$17.98
Family
X
Y
$42.52
