Page 21 - 2022 Washington Nationals Flipbook

2022 BENEFIT PAYROLL DEDUCTIONS

Medical: Highmark Blue Cross Blue Shield

Employee Monthly Cost Employee Monthly Cost
Type of Coverage
80/60 HDHP w/ H.S.A. 80/60 PPO

Individual $122 $204

Employee+ Child(ren) $290 $470

Employee + Spouse $325 $540

Family $375 $600

The Nationals will contribute $600 annually to your HSA if you have individual coverage, $1,200 if you
have Parent/Child coverage $1,320 if you have Employee/Spouse coverage, or $1,440 for family
coverage to offset a portion of your deductible expenses under the HDHP. This amount will be prorated
based on the month you are enrolled. For example, if you are an individual and you are eligible for
benefits on 4.1, the $600 is prorated based on 9 months. You would get $450 total, $225 on your 4.15
check and the other $225 split up on the remaining 17 checks.

IRS Guidelines:
The maximum contributions allowed into your H S A from all sources (employer + employee) is $3,650
for an individual and $7,300 for a family.

Dental: United Concordia Vision: VSP

Type of Coverage Employee Cost Per Month Type of Coverage Employee Cost Per Month

Individual $5.00 Individual $8.16

Employee+ Child(ren) $10.00 Employee+ Child(ren) $15.52

Employee + Spouse $10.00 Employee + Spouse $16.32

Family $20.00 Family $23.68

2022 Washington Nationals Benefit Guide Page 21