Page 37 - HR_10930_2022_Benefits_Book_v6_pages - With Links for Flipbook

2022 Bi-weekly Costs for Benefits Effective January 1, 2022 – December 31, 2022

Full-Time Employees <$50,000 Employee Only Employee Cost $352.03 $373.44 $394.88 $26.66 $23.36 $4.99 $14.22
Vision
Dental
Vision
Coverage
Dental
EPO
HSA
Cost Share
Salary
PPO
Basic
Buy-Up
Basic
Buy-Up
Level
$82.51
$40.92
$8.94
$11.12
$1.87
$18.29
$10.35
$0.00
$0.00
$10.46
Employer Cost
Employee Cost
$35.88
$7.94
$3.93
$163.62
$80.25
Employee +
Spouse
$21.96
$676.25
$757.79
$722.93
Employer Cost
$21.72
$0.00
$0.00
Employee Cost
$30.61
$139.31
$8.11
$14.52
$28.38
$68.46
$4.77
Employee +
Children
$0.00
$26.37
$589.06
$660.78
$0.00
$630.59
Employer Cost
$6.55
Employee Cost
$228.52
$111.72
$49.94
Employee +
Family
$0.00
$0.00
Employer Cost
$36.19
$21.34
$91.63
$50.45
$4.99
Employee Cost $941.40 $1,009.75 $1,054.90 $36.58 $38.96 $13.08 $23.40
$8.94
$1.87
$11.12
Employee Only
Employer Cost $348.97 $364.32 $385.35 $10.46 $10.35 $0.00 $0.00
Employee + Employee Cost $41.85 $181.73 $98.95 $3.93 $23.36 $7.94 $14.22
Spouse
$50,000 - Employer Cost $670.28 $704.82 $739.09 $21.96 $21.72 $0.00 $0.00
$99,999 Employee Cost $35.70 $154.72 $84.42 $4.77 $28.38 $8.11 $14.52
Employee +
Children Employer Cost $583.97 $615.18 $644.82 $26.66 $26.37 $0.00 $0.00
Employee + Employee Cost $58.25 $253.82 $137.75 $6.55 $38.96 $13.08 $23.40
Family Employer Cost $933.10 $984.45 $1,028.88 $36.58 $36.19 $0.00 $0.00
Employee Cost $24.75 $102.81 $60.72 $1.87 $11.12 $4.99 $8.94
Employee Only
Employer Cost $345.57 $353.14 $375.08 $10.46 $10.35 $0.00 $0.00
Employee + Employee Cost $49.51 $207.89 $121.44 $3.93 $23.36 $7.94 $14.22
Spouse Employer Cost $662.62 $678.66 $716.60 $21.96 $21.72 $0.00 $0.00
$100,000 - 2022 BI-WEEKLY COSTS FOR BENEFITS
$149,999 Employee Cost $41.42 $173.60 $101.62 $4.77 $28.38 $8.11 $14.52
Employee +
Children Employer Cost $578.24 $596.29 $627.61 $26.66 $26.37 $0.00 $0.00
Employee + Employee Cost $68.92 $290.36 $169.05 $6.55 $38.96 $13.08 $23.40
Family Employer Cost $922.43 $947.91 $997.57 $36.58 $36.19 $0.00 $0.00
Employee Cost $30.83 $108.11 $68.05 $1.87 $11.12 $4.99 $8.94
Employee Only
Employer Cost $339.48 $347.84 $367.74 $10.46 $10.35 $0.00 $0.00
Employee + Employee Cost $61.66 $218.62 $136.12 $3.93 $23.36 $7.94 $14.22
Spouse Employer Cost $650.47 $667.93 $701.92 $21.96 $21.72 $0.00 $0.00
$150,000 +
Employee + Employee Cost $51.60 $182.55 $113.89 $4.77 $28.38 $8.11 $14.52
Children Employer Cost $568.07 $587.34 $615.34 $26.66 $26.37 $0.00 $0.00
Employee + Employee Cost $85.84 $305.34 $189.49 $6.55 $38.96 $13.08 $23.40
Family Employer Cost $905.51 $932.93 $977.14 $36.58 Buy-Up $0.00 Buy-Up
$36.19
$0.00
Part-Time Employees No Salary Employee Only Employee Cost $299.98 $325.06 $594.94 $20.64 $24.69 $4.99 $14.22
Dental
Vision
Vision
Coverage
Dental
HSA
EPO
Salary
Cost Share
PPO
Basic
Level
Basic
$11.76
$70.34
$2.50
$123.95
$8.94
$130.89
$9.71
$311.85
Employer Cost
$0.00
$9.83
$0.00
$137.97
$7.94
$5.24
Employee Cost
$243.11
$259.61
Employee +
Spouse
$0.00
$0.00
Employer Cost
$20.40
$574.16
$626.94
Tiers
$207.40
$221.03
$8.11
$6.36
Employee Cost
$117.70
$29.97
$14.52
Employee +
Children
$521.83
$0.00
$548.87
$24.77
$501.97
$0.00
Employer Cost
$25.06
$192.06
$41.14
$8.73
Family
$0.00
Employer Cost
$828.19
$875.67
$0.00
34 Employee + Employee Cost $799.29 $362.60 $338.43 $34.40 $34.01 $13.08 $23.40 35