Page 21 - 2018 Sulzer (Pumps Solutions) Benefit Guide
P. 21
Sulzer
Cost of Coverage
Medical—Employee Pre-Tax Contributions
HDHP 2500 PPO 1500
Medical Bi-Weekly Bi-Weekly
Employee Only $35.70 $52.03
Employee and Spouse $74.97 $109.26
Employee and Child(ren) $64.26 $93.65
Employee and Family $114.24 $166.50
Dental—Employee Pre-Tax Contributions
Delta Dental
Bi-Weekly
Employee Only $3.28
Employee and Spouse $6.92
Employee and Child(ren) $6.80
Employee and Family $10.63
Vision—Employee Pre-Tax Contributions
EyeMed
Bi-Weekly
Employee Only $1.64
Employee and Spouse $3.11
Employee and Child(ren) $3.27
Employee and Family $4.80
21
Cost of Coverage
Medical—Employee Pre-Tax Contributions
HDHP 2500 PPO 1500
Medical Bi-Weekly Bi-Weekly
Employee Only $35.70 $52.03
Employee and Spouse $74.97 $109.26
Employee and Child(ren) $64.26 $93.65
Employee and Family $114.24 $166.50
Dental—Employee Pre-Tax Contributions
Delta Dental
Bi-Weekly
Employee Only $3.28
Employee and Spouse $6.92
Employee and Child(ren) $6.80
Employee and Family $10.63
Vision—Employee Pre-Tax Contributions
EyeMed
Bi-Weekly
Employee Only $1.64
Employee and Spouse $3.11
Employee and Child(ren) $3.27
Employee and Family $4.80
21