Page 13 - Franklin Madison 2022 Benefits Guide
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Employee Cost of Medical Options



Biweekly Paycheck Contributions Choosing the Medical Plan That’s

Full-Time Part-Time Right for You
Employee Cost Employee Cost When you’re ready to choose a medical plan, be
HSA OAP sure to take advantage of Emma, our easy-to-use
Employee $44.00 $142.50 beneit tool that can help make selecting your
Employee + $90.00 $305.65 plan easier than ever! Check it out by visiting
Child(ren) access.paylocity.com.
Employee + $103.00 $340.28
Spouse
Employee + Family $148.00 $491.47 Who Should Consider the Cigna HSA OAP
OAP Enhanced Plan?
Employee $91.00 $167.32 For the majority of employees, the HSA OAP will
Employee + $178.00 $358.90 be the least expensive medical plan. Not only will
Child(ren) the premiums be lower, there is more opportunity
Employee + $208.00 $399.56 to save money and protect themselves from
Spouse
Employee + Family $291.00 $577.09 the inancial risk of higher claims with the tax
OAP Basic advantages of the HSA. If healthy, the HSA can
Employee $76.00 $156.25 grow signiicantly over time adding additional
Employee + $149.00 $335.16 protection in the future even after leaving the
Child(ren) company. Employees who use a lot of out-of-
Employee + $175.00 $373.13 network care however may be better of in the
Spouse traditional OAP plans.
Employee + Family $254.00 $538.91
Who Should Consider the Cigna OAP
Enhanced and OAP Basic Plans?
Important update for 2022—The spousal surcharge The OAP Enhanced and OAP Basic are the most
that was temporarily suspended in 2021 will resume in
2022. expensive plans as it relates to the bi-weekly payroll
contribution; however, you will pay less out of
pocket when services are rendered.

A $25.00 per-pay-period Spousal Surcharge is assessed
for those employees who elect medical coverage for their
spouses. The surcharge will not apply if your spouse
doesn’t have access to his or her own employer-sponsored
coverage. Employees will be required to sign a statement
during the enrollment period conirming their spouse’s
beneit coverage options. If your spouse experiences a
change in beneit coverage options during the calendar
year please contact Human Resources within 30 days
of the event date to request a change to the spousal
surcharge status.







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