All premiums effective January 1, 2023. Benefits Payroll Deduction Schedule (for biweekly employees) COBRA Continuation of Health, Dental, and Vision Coverage Dental Premiums Individual Employee/ Child Employee/ Spouse Family PPO Plan Premium $39.21 $76.20 $78.47 $118.79 Plan A Premium $45.14 $87.70 $90.32 $136.74 Plan B Premium $12.18 $24.82 $24.37 $45.24 COBRA Premiums Individual Employee/ Child Employee/ Spouse Family PPO Plan Premium $39.99 $77.72 $80.04 $121.17 Plan A Premium $46.04 $89.45 $92.13 $139.47 Plan B Premium $12.42 $25.32 $24.86 $46.14 COBRA - Additional 11 Months Coverage Individual Employee/ Child Employee/ Spouse Family PPO Plan Premium $58.82 $114.30 $117.71 $178.19 Plan A Premium $67.71 $131.55 $135.48 $205.11 Plan B Premium $18.27 $37.23 $36.56 $67.86