Payroll Services

Employer Cost of Medical

The chart below shows by employee category what is listed in Box 12 Code DD:

W-2 FORM MEDICAL / DENTAL PLAN COVERAGE

Student Medical Plans

Amount Reported on W-2 Form

    Undergraduate

  • Amount billed for coverage if you were on WSU payroll any time in 2014.

 

    Graduate Student on  Assistantship

  • Amount billed for coverage.
  • Amount guaranteed by WSU.
  • Amount billed for dependent coverage.

 

Employees on Federal Medical Plans

  • YTD employee paid
  • YTD WSU paid

(Both amounts per pay cycle were listed on earnings statements)

PEBB Medical Plans

  • If health coverage was waived, the cost reported is for dental coverage.
  • Cost of dental coverage paid by WSU based on insurance carrier and tier of coverage (self, spouse, children, full family). Amount provided by Health Care Authority.
  • Cost of medical coverage paid for by WSU based on insurance carrier and tier of coverage (self, spouse, children, full family). Amount provided by Health Care Authority.

 

 

 
 
Payroll Services, PO Box 641024, Washington State University, Pullman WA 99164-1024, 509-335-9575, Contact Us
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