Page 22 - 2022 Thrall Benefits Guide
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Benefit Costs
Your bi-weekly payroll contributions for elected benefits are shown here:
PPO Medical – Best Rate* HDHP Medical – Best Rate* Dental Basic
Employee $106.30 Employee $84.61 Employee $10.60
Employee +1 $214.43 Employee + 1 $170.68 Employee + 1 $14.53
Family $295.11 Family $234.89 Family $17.15
PPO Medical – Full Surcharge HDHP Medical – Full Surcharge Dental Buy-Up
Employee $127.57 Employee $101.53 Employee $12.29
Employee +1 $257.32 Employee + 1 $204.81 Employee + 1 $17.64
Family $337.99 Family $269.03 Family $21.63
PPO Medical– Limited HDHP Medical – Limited Surcharge** Vision
Surcharge**
Employee $4.93
Employee + 1 $235.69 Employee + 1 $187.60
Family $10.61
Family $316.37 Family $251.81
*To qualify for the Best Healthcare Rate, you (& your covered spouse) must complete a
Biometric Screening & Online Health Assessment by October 31 of the prior year.
st
Legal Shield / Identity Shield
** Limited Surcharge applies to Employee + 1 and Family when a spouse is not covered, and Best
Rate qualifications are not met. Individual Family
Legal Services $7.82 $8.75
Identity Theft $4.13 $8.75
Combined $11.95 $15.65
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