Page 24 - HWS 2021 Benefit Guide
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Benefit costs
Your bi-weekly payroll contributions for medical, dental and vision benefits are shown here:
Medical BCBSTX PPO Plan BCBSTX HSA Plan
Individual $104.12 $51.69
Employee/Spouse $229.07 $113.72
Employee/Children $197.84 $98.21
Family $322.79 $160.24
Dental Dental Rates
Individual $4.62
Employee/Spouse $14.77
Employee/Children $13.38
Family $26.77
Vision Vision Rates
Individual $2.82
Employee/Spouse $5.33
Employee/Children $6.25
Family $8.80
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