2015 AGENDA ITEM EXHIBIT C VISION RATES 2_21_2014_VER3.DOCX

Maricopa County — Formal (2014-03-12)

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Exhibit C
Part – Time Employee Benefits – Plan Year 2015
Premium Rates
FY 2014-15 Vision Rates
Part-time Active Employees
Monthly Monthly
Monthly Total Employer Employee
Plan Tier Premium Premium Premium
Employee 6.80 2.74 4.06
Avesis Employee + Spouse 13.02 5.06 7.96
Employee + Child(ren) 13.18 5.50 7.68
Employee + Family 19.82 7.96 11.86