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YOUR HEAL TH
          Anthem Health Insurance
                                                                                       888.650.4047  |  anthem.com






          2022 Rates


                                                                                            NON-TOBACCO USER
            MEDICAL PLANS                 COVERAGE                 MONTHLY RATE
                                                                                            DISCOUNTED RATE
            High Deductible Plan          Single                   $146*                    $121*

                                          Employee + Spouse        $380**                   $330**

                                          Employee + Child(ren)    $369**                   $319**
                                          Family                   $397**                   $347**

                                                       *$100 is deposited into an HSA, **$200 is deposited into an HSA

            PPO 2250                      Single                   $186                     $161

                                          Employee + Spouse        $470                     $420

                                          Employee + Child(ren)    $395                     $345

                                          Family                   $625                     $575




          How does the high deductible plan                         members receive a $50 monthly discount. To take
          work?                                                     advantage of this, you must complete the required
                                                                    certification in BenSelect during enrollment.
          The High Deductible Health Plan gives you more
          control and accountability over how you use your
          benefits and spend your healthcare dollars. With this     Does Gray offer any other incentives?
          plan:
                                                                    Gray is pleased to offer a $50 monthly credit to team
             • Your premiums are lower                              members with a spouse who is not enrolled in one
             • Your deductible is higher                            of our medical plans and has other coverage. Simply
             • Once you meet your deductible,                       provide proof of your spouse’s insurance to the
              covered services are paid at 100%
                                                                    Benefits team and your credit will begin the following
                                                                    month.
          Does Gray offer a non-tobacco user
          incentive?
                                                                    What’s new for 2022?
          Yes! Our non-tobacco user incentive allows team
                                                                    Both the HDHP and PPO 2250 health insurance plans
          members participating in Gray’s healthcare plan to
                                                                    will now cover one routine eye exam per year per
          save on medical premiums. Team members with
                                                                    covered participant at no charge with an in network
          single coverage receive a $25 monthly discount on
                                                                    provider.
          premiums, while those covering additional family



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