Page 20 - 2018 Sulzer (Turbo New Orleans) Benefit Guide

Cost of Coverage

Medical—Employee Pre-Tax Contributions

Medical—Bi-Weekly HDHP 2500 PPO 1500
Bi-Weekly Bi-Weekly
Employee Only $35.70 $52.03
Employee and Spouse $74.97 $109.26
Employee and Child(ren) $64.26 $93.66
Employee and Family $114.24 $166.50

HDHP 2500
PPO 1500
Medical—Semi-Monthly Semi-Monthly Semi-Monthly
Employee Only $38.68 $56.37
Employee and Spouse $81.22 $118.37
Employee and Child(ren) $69.61 $101.46
Employee and Family $123.76 $180.37

Dental—Employee Pre-Tax Contributions

Delta Dental
Bi-Weekly
Employee Only $3.28
Employee and Spouse $6.92
Employee and Child(ren) $6.80
Employee and Family $10.63

Delta Dental
Semi-Monthly
Employee Only $3.56
Employee and Spouse $7.50
Employee and Child(ren) $7.37
Employee and Family $11.52
Vision—Employee Pre-Tax Contributions

EyeMed
Bi-Weekly
Employee Only $1.64
Employee and Spouse $3.11
Employee and Child(ren) $3.27
Employee and Family $4.80

EyeMed
Semi-Monthly
Employee Only $1.77
Employee and Spouse $3.37
Employee and Child(ren) $3.54
Employee and Family $5.21

20 2018 Benefits Enrollment