Single Coverage Calculator

Chapter 78 Calculator: Single Coverage

Please note: This calculator is for medical and prescription drug plans only. If you have dental and/or vision plans, contributions may apply as per your collective bargaining agreement or legislation.

Enter your information below to calculate your estimated contribution on a per paycheck basis:

Estimated Required Contribution
Single Coverage

Input the current year of the Chapter 78 implementation phase:

Year

Input your Annual Salary:

Annual Salary

Select the range that reflects your Annual Salary:

Salary Range

Input your total MONTHLY premium:

Monthly Premium

Select the number of paychecks you receive per year (payment mode):

Payment Mode

This is your premium contribution %:

Prem Contr. %

0.00%

You pay the GREATER of the two numbers below.

Contribution

The Required Health Care Contribution is:

$0.00

The minimum contribution based on 1.5% of salary is:

$0.00

Note: this calculator is for informational purposes only. All calculations are estimates and may differ from the actual amounts deducted from payroll.