Understand the Costs
These rates are effective January 1, 2012.
Full-Time Employee
| If your salary is: | Under $39,000 | $39,000 to $65,999 | $66,000 to $89,999 | $90,000+ |
| Yourself only | $105 | $134 | $175 | $244 |
| Yourself and one dependent | $175 | $239 | $302 | $383 |
| Yourself and your family | $225 | $307 | $389 | $490 |
Part-Time Employee
| If your salary is: | Under $39,000 | $39,000 to $65,999 | $66,000 to $89,999 | $90,000+ |
| Yourself only | $158 | $201 | $263 | $366 |
| Yourself and one dependent | $263 | $359 | $453 | $575 |
| Yourself and your family | $338 | $461 | $584 | $735 |