Page 12 - Drive DeVilbiss - 2022 Union Guide
P. 12
Benefit costs
Your monthly and biweekly payroll contributions for medical, dental and vision benefits are shown here.
Highmark – Medical (Option 1, if you Employee Monthly Cost Employee Biweekly Cost
choose Medical, Dental & Vision)
Employee Only $102.60 $47.35
Employee + Spouse $220.53 $101.78
Employee + Child $220.53 $101.78
Employee + Children $273.00 $126.00
Family $273.00 $126.00
Highmark – Medical (Option 2, if you choose Medical Only)
Employee Only $98.98 $45.68
Employee + Spouse $213.05 $98.33
Employee + Child $212.21 $97.94
Employee + Children $264.68 $122.16
Family $259.95 $119.98
Empire - Dental
Employee Only $3.04 $1.40
Employee + Spouse $6.32 $2.92
Employee + Child(ren) $7.13 $3.29
Family $11.28 $5.21
Empire - Vision
Employee Only $0.58 $0.27
Employee + Spouse $1.15 $0.53
Employee + Child(ren) $1.19 $0.55
Family $1.76 $0.81 12
