Upcoming Reporting Deadlines: Section 6056 and 6055 on February 28, 2019 (This date is for paper filings only).  Medicare Part D  disclosure to CMS  on March 1, 2019.  Click here for other deadlines.

Chapter 78 Calculator: Family Coverage

Enter your information below to calculate your estimated contribution on a per paycheck basis:

Estimated Required Contribution
Family Coverage
Input the current year of the Chapter 78 implementation phase:
Input your Annual Salary:
Annual Salary

Select the range that reflects your Annual Salary:
Salary Range

Input your total MONTHLY premium:
Monthly Premium

Select the number of paychecks you receive per year (payment mode):
Payment Mode

This is your premium contribution %:
Prem Contr. %
You pay the GREATER of the two numbers below.
The Required Health Care Contribution is:
The minimum contribution based on 1.5% of salary is:

Note: this calculator is for informational purposes only. All calculations are estimates and may differ from the actual amounts deducted from payroll.

Brown & Brown Benefit Advisors