Page 5 - Watermark Retirement Communities 2022 Benefits Guide Logan Square Union After

Benefit Costs

Your per pay period payroll contributions for medical, dental and vision benefits are shown here:

Medical Premiums for the Consumer Plan

Coverage Categories UHC Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period

Associate Only $620.11 $243.51 $42.69
Associate + Spouse $1,357.77 $243.51 $383.15

Associate + Child(ren) $1,235.25 $243.51 $326.60

Associate + Family $1,914.13 $243.51 $639.93

Medical Premiums for the Select Plan

Coverage Categories UHC Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period

Associate Only $715.79 $243.51 $86.85

Associate + Spouse $1,574.76 $243.51 $483.30

Associate + Child(ren) $1,431.60 $243.51 $417.23

Associate + Family $2,218.96 $243.51 $780.62

Medical Premiums for the Enhanced Plan

Coverage Categories UHC Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period

Associate Only $1,151.91 $243.51 $288.14

Associate + Spouse $2,534.19 $243.51 $926.11
Associate + Child(ren) $2,303.81 $243.51 $819.78

Associate + Family $3,570.90 $243.51 $1,404.60

Dental MetLife Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period

Associate Only $29.97 $13.83 $0.00

Associate + Spouse $58.94 $13.83 $13.37

Associate + Child(ren) $51.77 $13.83 $10.06

Associate + Family $79.21 $13.83 $22.73

Vision UHC Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period

Associate Only $4.76 $0.00 $2.20
Associate + Spouse $8.18 $0.00 $3.78
Associate + Child(ren) $9.84 $0.00 $4.54

Associate + Family $12.17 $0.00 $5.62

All other benefits rates are based on salary and/or age and can be found online at
www.mywatermarkbenefits.com or by contacting the Watermark Benefits call center.

5