Legally Domiciled Adult Tax Examples
LDA is not a Tax Dependent
| Coverage Option | Monthly Premium | Employer Pays | Employee Pays | Pre Tax Deduction | Post Tax Deduction | Monthly Imputed Income |
|---|---|---|---|---|---|---|
| Employee | $500 | $450 | $50 | $50 | $0 | $0 |
| Employee + LDA | $1,000 | $900 | $100 | $50 | $50 | $450 |
| Employee + Family + LDA | $1,500 | $1,350 | $150 | $100 | $50 | $450 |
LDA is a Tax Dependent
| Coverage Option | Monthly Premium | Employer Pays | Employee Pays | Pre Tax Deduction | Post Tax Deduction | Monthly Imputed Income |
|---|---|---|---|---|---|---|
| Employee | $500 | $450 | $50 | $50 | $0 | $0 |
| Employee + LDA | $1,000 | $900 | $100 | $100 | $0 | $0 |
| Employee + Family + LDA | $1,500 | $1,350 | $150 | $150 | $0 | $0 |
LDA is not a Tax Dependent
| Coverage Option | Monthly Premium | Employer Pays | Employee Pays | Pre Tax Deduction | Post Tax Deduction | Monthly Imputed Income |
|---|---|---|---|---|---|---|
| Employee | $500 | $450 | $50 | $50 | $0 | $0 |
| Employee + LDA | $1,000 | $450 | $550 | $50 | $500 | $0 |
| Employee + Family + LDA | $1,500 | $450 | $1,050 | $550 | $500 | $0 |
LDA is a Tax Dependent
| Coverage Option | Monthly Premium | Employer Pays | Employee Pays | Pre Tax Deduction | Post Tax Deduction | Monthly Imputed Income |
|---|---|---|---|---|---|---|
| Employee | $500 | $450 | $50 | $50 | $0 | $0 |
| Employee + LDA | $1,000 | $450 | $550 | $550 | $0 | $0 |
| Employee + Family + LDA | $1,500 | $450 | $1,050 | $1,050 | $0 | $0 |