Page 13 - McKenzie 2022 Benefit Guide NC Salary

BENEFIT COSTS

Weekly Payroll Contributions – Medical
Non-Tobacco Non-Tobacco Tobacco Tobacco
Tier
with Physical without Physical with Physical without Physical
Employee Only $8.25 $37.09 $56.30 $85.14
Employee + One $25.91 $54.75 $73.96 $102.80

Employee + Family $46.84 $75.68 $90.81 $119.65

Weekly Payroll Contributions
Tier Dental Vision
Employee Only $0.00 $1.70

Employee + One $0.00 $3.10
Employee + Family $0.00 $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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