Page 17 - AB Mauri 2022 Benefits Guide OHLY
P. 17
2022 Benefits Enrollment
Employee
Contributions
Medical Monthly Cost
High
Cigna OAP Deductible
Plan Health Plan/
HSA
Employee Only $124 $218
Employee + $298 $419
Child(ren)
Employee + Spouse $298 $453
Family $469 $643
Tobacco users will cost an additional $60 per month.
Spouses that have coverage available through their
own employer will cost an additional $200 per
month if enrolled.
Optional Life
Your cost of coverage is based on your age and the
coverage amount you elect for yourself and your
dependents. Cost of coverage is available in Paycom.
17
Employee
Contributions
Medical Monthly Cost
High
Cigna OAP Deductible
Plan Health Plan/
HSA
Employee Only $124 $218
Employee + $298 $419
Child(ren)
Employee + Spouse $298 $453
Family $469 $643
Tobacco users will cost an additional $60 per month.
Spouses that have coverage available through their
own employer will cost an additional $200 per
month if enrolled.
Optional Life
Your cost of coverage is based on your age and the
coverage amount you elect for yourself and your
dependents. Cost of coverage is available in Paycom.
17
