Plan Year {{config.planYear}}: {{config.siteName}}

Complete the information in all tabs to obtain the most accurate estimated monthly deductions below.

Save Your Estimated Deductions

You can save your estimated deductions, or your progress to date, by emailing a link to yourself or your spouse/domestic partner. Note: When you access “saved” selections later, some may not load properly if there are updates to the site or to plan details.

Click the following button: Email the URL

NOTE: If the button above doesn't work, you can copy the following URL and paste it into the body of your email:




If you would like to start over and reset your data, you will be able to clear it here.

Would you like to remove your data?

Select either 'Yes' or 'No', then click the button below.


Copy Current URL

Quick Pick

Quick pick a sample user for easy debugging

Core Optional