Select your level of coverage: 

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Select your year of the Chapter 78 Implementation Phase:

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Input your annual salary: 

Your health benefits contribution breakdown under Chapter 78 legislation:

Your premium contribution percentage: 

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Your healthcare contribution amount per paycheck:*

(Premium x 12 then multiplied by your Chapter 78 percentage, divided by your number of paychecks)

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Your minimum contribution based on 1.5% of your salary per paycheck:*

(Your annual salary multiplied by .015, divided by your number of paychecks)

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* You will pay the greater of these two amounts

Input your total monthly health insurance premium:

Select the number of paychecks you receive per year:

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Your Health Benefits Contribution per pay:

(This is the amount you will contribute for the cost of your healthcare PER PAYCHECK)

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Your Health Benefits Contribution per year:

(This is the amount you will contribute for the cost of your healthcare PER YEAR:)

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Please Note: This calculator is for informational purposes only. All calculations are estimates and may differ from the actual amounts deducted from payroll. Employees should confirm their actual health benefits contribution with their payroll/health benefits department.