Page 5 - Watermark 2022 Benefits Guide - CA
P. 5

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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