| Employee | E/S | E/C | Family | |
| Health | ||||
| Rocky Mountain Health PPO Plan 25-2000 | $459.15 | $939.54 | $848.88 | $1330.28 |
| Vision | ||||
| Eye Med Vision | $5.96 | $11.32 | $11.92 | $17.52 |
| Dental | ||||
| Beta Health - Alpha Plan | $9.25 | $15.50 | $21.00 | $25.00 |
| Beta Health - Dental PPO Plan | $28.64 | $55.00 | $64.16 | $99.68 |



