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2025-11-10 2026 Non-Rep & AFSCME Rate Sheet Medical-Dental-VisionNon-Rep/AFSCME Employee Employee & Spouse Employee & Children Family AETNA POS 500 Total Premium 980.01$ 1,803.57$ 1,597.66$ 2,421.57$ Managed Choice Point of Service Employer Paid 925.36$ 1,351.04$ 1,343.69$ 1,640.15$ Employee Paid 54.65$ 452.53$ 253.97$ 781.42$ AETNA HDHP 2000 Total Premium 909.40$ 1,660.60$ 1,486.15$ 2,183.95$ Managed Choice Point of Service Employer Paid 909.40$ 1,351.04$ 1,343.69$ 1,640.15$ High Deductible Health Plan HSA ER Contribution 58.34$ 116.67$ 116.67$ 116.67$ with Health Savings Account Employee Paid -$ 309.56$ 142.46$ 543.80$ AETNA POS 1000 Total Premium 950.56$ 1,742.04$ 1,544.17$ 2,335.65$ Managed Choice Point of Service Employer Paid 925.36$ 1,351.04$ 1,343.69$ 1,640.15$ Employee Paid 25.20$ 391.00$ 200.48$ 695.50$ Employee Employee & Spouse Employee & Children Family Dental Total Premium 33.98$ 67.58$ 78.21$ 120.01$ MetLife PDP Plus Employer Paid 33.98$ 67.58$ 78.21$ 120.01$ Employee Paid -$ -$ -$ -$ Employee Employee & Spouse Employee & Children Family Vision Total Premium 10.66$ 21.38$ 18.10$ 29.84$ www.VSP.com Employer Paid 10.66$ 21.38$ 18.10$ 29.84$ by MetLife Employee Paid -$ -$ -$ -$ Note: If an employee wavies any ancillary coverage (vision/dental), that employer paid benefit will not be redistributed to medical premiums. 2026 Lewis County contributes 100% of Metlife High Dental and Metlife Vision premiums Metlife Basic Life and AD&D ($35,000 each) additional $5.57 employer paid contribution AFSCME/Non-Represented Employees 2026 Lewis County Health and Welfare Rate Sheet