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Medical Plan <br />1st of the month <br />Total <br />Monthly <br />Premium <br />City's <br />Contribution <br />FTE <br />Employee <br />Monthly <br />Cost <br />Employee <br />Per Pay <br />Period <br />Cost* <br />Monthly <br />City HSA <br />Contribution <br />PEIP - High - Single $718.94 $718.94 $0.00 $0.00 <br />PEIP - High - Family $1,848.80 $1,479.04 $369.76 $184.88 <br />PEIP - H S A - Single $508.54 $508.54 $0.00 $0.00 $125.00 <br />PEIP - H S A - Family $1,286.06 $1,221.76 $64.30 $32.15 $250.00 <br />Dental Plan Monthly <br />Premium <br />Single $42.02 <br />Single + One $84.19 <br />Family $127.18 <br />Vision Plan Monthly <br />Premium <br />Single $6.41 <br />Family $15.33 <br />Health and Dental <br />I.U.O.E Union Coverage <br />(Effective 3/1/2026) <br />Monthly <br />Premium <br />City's <br />Contribution <br />Employee <br />Monthly <br />Cost <br />Family $1,675.00 $1,423.75 $251.25 <br />Life & Disability Monthly <br />Premium <br />City's <br />Contribution <br />Life Insurance ($25,000) <br /> & AD&D $4.50 100% <br />STD Insurance $0.07/$10 100% <br />LTD Insurance $0.30/$100 100% <br />MN Paid Leave <br />0.76% of wages <br />PERA <br />Public Employee Retirement <br />Association <br />Coordinated <br />Fire Plan <br />*Insurance premiums are only deducted from the first 2 paychecks each month <br />2026 City of Lake Elmo Benefit Rates and Contributions <br />Employee <br />ContributionEmployer Contribution <br />FTE <br />Employee <br />Monthly <br />Cost <br />$0.00 <br />$0.00 <br />$0.00 <br />City's <br />Contribution <br />100% <br />100% <br />100% <br />$0.00 <br />$0.00 <br />$0.00 <br />Employee Per <br />Pay Period Cost <br />17.7%11.8% <br />7.5%6.5% <br />Employee Per <br />Pay Period Cost <br />Employee Monthly <br />Cost <br />$6.41 <br />Employee <br />Monthly Cost <br />Employee Per Pay <br />Period Cost* <br />$125.63 <br />$15.33 <br />$3.21 <br />$7.67 <br />0.38% of wages <br />Employer Per <br />Pay Period Cost <br />0.38% of wages