| 
        Monthly Total Wages*  | 
      
        Monthly Contribution  | 
     
| 
        < $1,000  | 
      
        $1.00  | 
     
| 
        > $1,000 to $1,500  | 
      
        $3.00  | 
     
| 
        > $1,500 to $2,500  | 
      
        $5.00  | 
     
| 
        > $2,500 to $4,500  | 
      
        $7.00  | 
     
| 
        > $4,500 to $7,500  | 
      
        $9.00  | 
     
| 
        > $7,500 to $10,000  | 
      
        $12.00  | 
     
| 
        > $10,000 to $15,000  | 
      
        $18.00  | 
     
| 
        > $15,000  | 
      
        $30.00  |