Benefit Cost Calculator
Credits
Work Status Full-Time (at least 30 hrs/wk) Part-Time (20-29 hrs/wk)		Medical/Dental Benefit Coverage Type Opt Out Employee Only Employee+Spouse Employee+Child(ren) Employee+Spouse+Child(ren)
Work Location Belle Fourche Belgrade Billings Billings Drive Up Billings Grand Billings Heights Billings West Boise Bozeman Bozeman Gallatin Center Bozeman Main Bozeman, MSU Buffalo Casper Casper East Casper Mills Casper West Cheyenne Cheyenne Del Range Colstrip Custer Deadwood Edgemont Eureka Evergreen Florida Gardiner Gillette (Network Plan) Gillette (Non-Network Plan) Great Falls Great Falls Marketplace Hamilton Hardin Helena Hill City Hot Springs Jackson Jackson Albertsons Jackson Town Square Jackson Downtown Kalispell Lame Deer Lander Laramie Laramie U Of W Laramie West Livingston Miles City Miller Bldg Missoula Albertsons Missoula North Reserve Missoula South Missoula Nebraska New Underwood Ops Center Piedmont Polson Rapid City Red Lodge Riverton South Douglas (Network Plan) South Douglas (Non-Network Plan) Sheridan (Network Plan) Sheridan (Non-Network Plan) Sheridan Sugarland (Network Plan) Sheridan Sugarland (Non-Network Plan) Spearfish Sturgis Wall Whitefish		Sell PTO None 8 hours 16 hours 24 hours
Medical/Dental
Network Non-Network
Medical Plan Minimum Benefits Standard Benefits Premium Benefits		Dental Plan Preventive Plan Standard Plan
Vision
Vision Plan No Yes	Vision Coverage Type Employee Only Employee+Spouse Employee+Child(ren) Employee+Spouse+Child(ren)
Life Insurance
Supplemental Life Insurance None 1x Annual Salary 2x Annual Salary 3x Annual Salary	Employee Age Under 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69	Annual Salary (Round to nearest dollar)
Supplemental Life Insurance Spouse No Yes	Spouse Age Under 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69
Supplemental Life Insurance Child/Children No Yes	Amount 2000 5000 10000
Flex
Annual Medical Flex Amount		Annual Dependent Care

Credits		Deductions
Medical/Dental		Medical
PTO		Dental
		Vision
		Supplemental Life
		Spouse Sup. Life
		Dependent Sup. Life
		Flex Medical
		Flex Dependent Care
		Flex Administration
Total Credits		Total Deductions
Per Pay Period Credit		Per Pay Period Deduction