{ "document_id": 13522, "page": 12, "width_pt": 792, "height_pt": 612, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "engine": "paddleocr_vl", "source_run_id": 13633, "item_count": 17, "counts_by_type": { "caption": 2, "footer": 1, "footnote": 2, "heading": 1, "table": 2, "table_cell": 8, "text": 1 }, "build_ms": 11, "items": [ { "id": "p12.1", "order": 1, "type": "heading", "bbox": { "l": 32.64, "t": 577.68, "r": 621.12, "b": 552.96 }, "text": "2025 Monthly Premium Contributions for Tobacco Users", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p12.2", "order": 2, "type": "caption", "bbox": { "l": 37.68, "t": 532.32, "r": 236.88, "b": 519.36 }, "text": "Who completed the LivingWell Promise in 2024 for 2025", "attrs": { "block_label": "figure_title" } }, { "id": "p12.3", "order": 3, "type": "table", "bbox": { "l": 36, "t": 519.6, "r": 390, "b": 151.92 }, "text": "", "attrs": { "block_label": "table", "n_rows": 1, "n_cols": 4, "integrity": { "cells_checked": 4, "cells_flagged": 0 } }, "children": [ { "id": "p12.3.1", "order": 4, "type": "table_cell", "bbox": { "l": 40.02, "t": 513.7234, "r": 113.8452, "b": 153.2815 }, "text": "LivingWell CDHP\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}\nLivingWell PPO\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}\nLivingWell Basic CDHP\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}\nLivingWell HDHP\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } }, { "id": "p12.3.2", "order": 5, "type": "table_cell", "bbox": { "l": 146.56, "t": 513.7234, "r": 191.0281, "b": 153.55149999999998 }, "text": "Total Premium\n930.76\n1,269.28\n1,866.24\n2,078.08\n1,068.66\nTotal Premium\n949.04\n1,320.40\n1,981.62\n2,185.78\n1,126.28\nTotal Premium\n901.04\n1,234.80\n1,863.04\n2,069.88\n1,057.40\nTotal Premium\n835.42\n1,144.86\n1,727.36\n1,919.14\n980.38", "attrs": { "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } }, { "id": "p12.3.3", "order": 6, "type": "table_cell", "bbox": { "l": 220.48, "t": 513.7234, "r": 290.5783, "b": 153.55149999999998 }, "text": "Employer Contribution\n837.30\n1,052.22\n1,446.90\n1,599.16\n941.76\nEmployer Contribution\n819.90\n986.30\n1,329.86\n1,389.14\n915.80\nEmployer Contribution\n832.70\n1,087.28\n1,501.62\n1,652.20\n985.90\nEmployer Contribution\n774.54\n1,008.76\n1,396.90\n1,537.84\n911.18", "attrs": { "row": 0, "col": 2, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } }, { "id": "p12.3.4", "order": 7, "type": "table_cell", "bbox": { "l": 305.68, "t": 513.7234, "r": 376.9312, "b": 153.55149999999998 }, "text": "Employee Contribution\n93.46\n217.06\n419.34\n478.92\n126.90\nEmployee Contribution\n129.14\n334.10\n651.76\n796.64\n210.48\nEmployee Contribution\n68.34\n147.52\n361.42\n417.68\n71.50\nEmployee Contribution\n60.88\n136.10\n330.46\n381.30\n69.20", "attrs": { "row": 0, "col": 3, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } } ] }, { "id": "p12.4", "order": 8, "type": "caption", "bbox": { "l": 403.92, "t": 532.8, "r": 628.08, "b": 519.36 }, "text": "Who did NOT complete the LivingWell Promise in 2024 for 2025", "attrs": { "block_label": "figure_title" } }, { "id": "p12.5", "order": 9, "type": "table", "bbox": { "l": 402.24, "t": 517.68, "r": 756, "b": 152.16 }, "text": "", "attrs": { "block_label": "table", "n_rows": 1, "n_cols": 4, "integrity": { "cells_checked": 4, "cells_flagged": 0 } }, "children": [ { "id": "p12.5.1", "order": 10, "type": "table_cell", "bbox": { "l": 406.5, "t": 513.8985, "r": 480.3252, "b": 153.3155 }, "text": "LivingWell CDHP\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}\nLivingWell PPO\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}\nLivingWell Basic CDHP\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}\nLivingWell HDHP\nSingle\nParent-Plus\nCouple\nFamily\nFamily Cross-Reference ^{{*}}", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } }, { "id": "p12.5.2", "order": 11, "type": "table_cell", "bbox": { "l": 512.32, "t": 513.8985, "r": 556.7881, "b": 153.58550000000002 }, "text": "Total Premium\n930.76\n1,269.28\n1,866.24\n2,078.08\n1,068.66\nTotal Premium\n949.04\n1,320.40\n1,981.62\n2,185.78\n1,126.28\nTotal Premium\n901.04\n1,234.80\n1,863.04\n2,069.88\n1,057.40\nTotal Premium\n835.42\n1,144.86\n1,727.36\n1,919.14\n980.38", "attrs": { "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } }, { "id": "p12.5.3", "order": 12, "type": "table_cell", "bbox": { "l": 585.76, "t": 513.8985, "r": 655.8592, "b": 153.58550000000002 }, "text": "Employer Contribution\n797.30\n1,012.22\n1,406.90\n1,559.16\n901.76\nEmployer Contribution\n779.90\n946.30\n1,289.86\n1,349.14\n875.80\nEmployer Contribution\n792.70\n1,047.28\n1,461.62\n1,612.20\n945.90\nEmployer Contribution\n734.54\n968.76\n1,356.90\n1,497.84\n871.18", "attrs": { "row": 0, "col": 2, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } }, { "id": "p12.5.4", "order": 13, "type": "table_cell", "bbox": { "l": 672.16, "t": 513.8985, "r": 743.4112, "b": 153.58550000000002 }, "text": "Employee Contribution\n133.46\n257.06\n459.34\n518.92\n166.90\nEmployee Contribution\n169.14\n374.10\n691.76\n836.64\n250.48\nEmployee Contribution\n108.34\n187.52\n401.42\n457.68\n111.50\nEmployee Contribution\n100.88\n176.10\n370.46\n421.30\n109.20", "attrs": { "row": 0, "col": 3, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true } } ] }, { "id": "p12.6", "order": 14, "type": "footnote", "bbox": { "l": 33.6, "t": 133.68, "r": 247.68, "b": 121.44 }, "text": "All employee premium contributions are per employee, per month.", "attrs": { "block_label": "vision_footnote" } }, { "id": "p12.7", "order": 15, "type": "footnote", "bbox": { "l": 33.36, "t": 113.04, "r": 363.84, "b": 101.52 }, "text": "[p12.7.1] Family Cross-Reference is not an available payment option if you are hired on January 1, 2025 or after.", "attrs": { "block_label": "vision_footnote" }, "children": [ { "id": "p12.7.1", "order": 16, "type": "text", "bbox": { "l": 33.36, "t": 113.04, "r": 363.84, "b": 101.52 }, "text": "^{*}", "attrs": { "inline": true, "text_offset": 0, "text_span": 9, "bbox_estimated": true } } ] }, { "id": "p12.8", "order": 17, "type": "footer", "bbox": { "l": 34.8, "t": 30, "r": 46.8, "b": 20.4 }, "text": "12", "attrs": { "block_label": "number" } } ], "excluded_furniture": { "first": [], "last": [] } }