Page 13 - C.J. Segerstrom 2022 Benefit Guide
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BENEFIT COSTS
Your bi-weekly* payroll contributions for medical, dental and vision benefits are shown here.
Aetna California Care Aetna PPO
Medical Kaiser HMO Aetna CDHP
HMO $750 OAMC
Employee Only $44.84 $44.84 $103.75 $75.68
Employee + Spouse $126.45 $126.45 $278.79 $226.79
Employee + Child(ren) $101.04 $101.04 $233.40 $177.75
Employee + Family $204.79 $204.79 $471.09 $405.38
Dental DeltaCare DHMO Delta Dental PPO
Employee Only $3.17 $9.05
Employee + Spouse $6.83 $21.33
Employee + Child(ren) $6.26 $17.88
Employee + Family $10.25 $35.28
Vision EyeMed PPO
Employee Only $3.51
Employee + Spouse $6.65
Employee + Child(ren) $7.00
Employee + Family $10.27
* If you use tobacco, you will be charged an additional $50 per month on your medical premium
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