Page 5 - Watermark 2022 Benefits Guide - CA
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Benefit Costs
Your per pay period payroll contributions for medical, dental and vision benefits are shown here:
Medical Premiums for the Kaiser HMO Plan
Coverage Categories Kaiser Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period
Associate Only $681.95 $254.63 $60.11
Associate + Spouse $1,500.30 $482.10 $210.35
Associate + Child(ren) $1,363.91 $443.12 $186.38
Associate + Family $2,114.06 $650.42 $325.30
Medical Premiums for the UHC Consumer Plan
Coverage Categories UHC Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period
Associate Only $620.11 $224.18 $62.03
Associate + Spouse $1,357.77 $445.02 $181.64
Associate + Child(ren) $1,235.25 $406.23 $163.88
Associate + Family $1,914.13 $595.71 $287.73
Medical Premiums for the UHC Select Plan
Coverage Categories UHC Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period
Associate Only $715.79 $254.12 $76.24
Associate + Spouse $1,574.76 $481.13 $245.68
Associate + Child(ren) $1,431.60 $442.22 $218.51
Associate + Family $2,218.96 $649.11 $375.02
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 $276.43 $255.22
Associate + Spouse $2,534.19 $528.52 $641.11
Associate + Child(ren) $2,303.81 $486.86 $576.44
Associate + Family $3,570.90 $718.29 $929.82
Dental MetLife Monthly Bill Watermark Cost Per Pay Period Associate Cost Per Pay Period
Associate Only $29.97 $7.82 $6.01
Associate + Spouse $58.94 $5.24 $21.96
Associate + Child(ren) $51.77 $4.61 $19.28
Associate + Family $79.21 $4.78 $31.78
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.
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