Page 13 - McKenzie 2022 Benefit Guide SD Hourly

BENEFIT COSTS

Weekly Payroll Contributions – Medical
Non-Tobacco Non-Tobacco Tobacco Tobacco
Tier
with Physical without Physical with Physical without Physical

Employee Only $19.81 $48.65 $67.86 $96.70
Employee + One $56.63 $85.47 $104.68 $133.52
Employee + Family $88.33 $117.17 $136.38 $165.22

Weekly Payroll Contributions

Tier Dental Vision
Employee Only $2.33 $1.70
Employee + One $10.18 $3.10
Employee + Family $13.38 $5.38

Voluntary Life Insurance Monthly Rates

Per $1,000 of Coverage
Age Band Employee Spouse
0 – 24 $0.100 $0.100

25 – 29 $0.140 $0.140
30 – 34 $0.150 $0.150
35 – 39 $0.180 $0.180
40 – 44 $0.230 $0.230

45 – 49 $0.330 $0.330
50 – 54 $0.520 $0.520

55 – 59 $0.870 $0.870
60 – 64 $1.350 $1.350
65 – 69 $2.230 $2.230

70 – 74 $3.850 $3.850
75 – 100 $3.390 $3.390

Voluntary AD&D Insurance Monthly Rates
Voluntary Child Life Insurance
Per $1,000 of Coverage
Employee $0.350
$2.00
Spouse $0.350

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