Page 30 - Skyworks Solutions, Inc.

Rates

Plan - Biweekly Employee Only Employee +1 Family
Active Rates
SWKS Medical with HSA $0.00 $57.41 $114.81

SWKS Medical Plus with HSA $34.67 $130.02 $225.37
SWKS Narrow Network $46.87 $153.32 $259.87
Dental $6.03 $12.06 $18.09

Dental Plus $12.42 $24.84 $37.26

Vision $0.77 $1.12 $2.00
Vision Plus $3.32 $4.85 $8.70

Plan - Monthly Employee Only Employee +1 Family
COBRA Rates

SWKS Medical with HSA $548.73 $1,132.05 $1,766.37
SWKS Medical Plus with HSA $611.00 $1,262.42 $1,964.83

SWKS Narrow Network $703.45 $1,428.00 $2,152.56
Dental $52.48 $104.96 $157.42
Dental Plus $66.60 $133.19 $199.78

Vision $9.18 $13.40 $24.01

Vision Plus $14.83 $21.65 $38.81

Biweekly Rates Employee Only Employee + Spouse/ Employee + Family
Domestic Partner Child(ren)

Accident $3.11 $6.12 $6.89 $8.54

Skyworks Solutions Employee Benefits Guide - U.S. 30