Department of Human Resources Development

Enter Your Annual Salary

Insurance Benefits

Benefit Category	Benefit Options	Annual Employee Contribution	Annual State Contribution
Medical Insurance – HMSA	— Select — PPO – 75/25 (Self) PPO – 75/25 (Two-Party) PPO – 75/25 (Family) PPO – 80/20 (Self) PPO – 80/20 (Two-Party) PPO – 80/20 (Family) PPO – 90/10 (Self) PPO – 90/10 (Two-Party) PPO – 90/10 (Family) HMO (Self) HMO (Two-Party) HMO (Family)	$0.00	$0.00
Medical Insurance – Kaiser	— Select — HMO – Kaiser Standard (Self) HMO – Kaiser Standard (Two-Party) HMO – Kaiser Standard (Family) HMO – Kaiser Comprehensive (Self) HMO – Kaiser Comprehensive (Two-Party) HMO – Kaiser Comprehensive (Family)	$0.00	$0.00
Supplemental Medical Options	— Select — Supplemental Medical (Self) Supplemental Medical (Two-Party) Supplemental Medical (Family)	$0.00	$0.00
HDS Dental	— Select — HDS (Self) HDS (Two-Party) HDS (Family)	$0.00	$0.00
VSP Vision	— Select — VSP Vision (Self) VSP Vision (Two-Party) VSP Vision (Family)	$0.00	$0.00
Life Insurance	— Select — Securian Life Insurance	$0.00	$0.00
Subtotal – Insurance Benefits		$0.00	$0.00

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Retirement Benefits

Benefit	Annual Employee Contribution	Annual State Contribution
Hybrid Retirement Plan (ERS Pension) — Select — 6% Hybrid Plan (Membership Prior to 07/01/12) 8% Hybrid Plan (Membership After 06/30/12)	$0.00	$0.00
Noncontributory Retirement Plan — Select — Membership Prior to 07/01/06	$0.00	$0.00
Retiree Health Insurance	$0.00	$0.00
Social Security	$0.00	$0.00
Medicare	$0.00	$0.00
Subtotal – Retirement Benefits	$0.00	$0.00

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Mandated Benefits

Benefit	Annual Employee Contribution	Annual State Contribution
Workers’ Compensation	$0.00	$0.00
Unemployment Insurance	$0.00	$0.00
Subtotal – Mandated Benefits	$0.00	$0.00

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Total Contributions

$0.00

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Total Employee Contributions	Total Compensation (Salary + Benefits)
$0.00	$0.00

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Time Off Benefits

Time Off	Annual Employee Contribution	Annual State Contribution
Vacation (21 Days)	$0.00	$0.00
Sick Leave (21 Days)	$0.00	$0.00
Holidays (13/14 Days during election year)	$0.00	$0.00
Subtotal – Time Off Benefits	$0.00	$0.00

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GRAND TOTAL (Total Compensation + Time Off Benefits)

$0.00

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This estimator is not all encompassing and is based on information and assumptions provided by you.  This tool is for illustrative purposes only and provides benefits-eligible employees an estimate of their compensation based on specific options selected. The actual value of total compensation may be different as benefits vary by type of appointment, collective bargaining agreement and federal and state law, and are subject to change.