Page 24 - Winsight 2021 Benefit Guide
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Benefit costs
Your monthly payroll contributions for medical, dental and vision benefits are shown here.
Medical BCBSIL HMO BCBSIL $500 PPO BCBSIL $1,500 PPO BCBSIL HSA $3,500
Employee Only $34.00 $159.00 $99.50 $78.00
Employee + Spouse $205.00 $436.00 $317.00 $259.50
Employee + Child(ren) $147.00 $340.00 $238.00 $207.00
Family $385.00 $695.00 $530.00 $415.00
Dental Low Plan High Plan
Employee Only $6.50 $15.00
Employee + Spouse $13.00 $30.00
Employee + Child(ren) $17.00 $35.00
Family $23.00 $52.00
Your Semi-Monthly payroll contributions for medical, dental and vision benefits are shown here.
Medical BCBSIL HMO BCBSIL $500 PPO BCBSIL $1,500 PPO BCBSIL HSA $3,500
Employee Only $17.00 $79.50 $ 49.75 $39.00
Employee + Spouse $102.50 $218.00 $ 158.50 $129.75
Employee + Child(ren) $73.50 $170.00 $ 119.00 $103.50
Family $192.50 $347.50 $ 265.00 $207.50
Dental Low Plan High Plan
Employee Only $3.25 $7.50
Employee + Spouse $6.50 $15.00
Employee + Child(ren) $8.50 $17.50
Family $11.50 $26.00
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