Page 18 - 2022 Drive Open Enrollment Guide - Non Union
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Monthly, Bi-weekly & Weekly Employee Contributions: Medical
New Rates for 2022
Empire Blue Cross Blue Shield – Medical – Bronze Plan (HDHP) Monthly Cost Bi-Weekly Cost Weekly Cost
Employee Only $79.17 $36.54 $18.27
Employee +Spouse $158.34 $73.08 $36.54
Employee + Child(ren) $142.51 $65.77 $32.89
Family $237.51 $109.62 $54.81
Empire Blue Cross Blue Shield – Medical– Low Plan (HDHP) Monthly Cost Bi-Weekly Cost Weekly Cost
Employee Only $134.27 $61.97 $30.99
Employee +Spouse $265.29 $122.44 $61.22
Employee + Child(ren) $239.09 $110.35 $55.17
Family $396.32 $182.92 $91.46
Empire Blue Cross Blue Shield – Medical – Middle Plan (EPO) Monthly Cost Bi-Weekly Cost Weekly Cost
Employee Only $216.35 $99.85 $49.93
Employee +Spouse $432.70 $199.71 $99.85
Employee + Child(ren) $389.42 $179.73 $89.87
Family $649.04 $299.56 $149.78
Empire Blue Cross Blue Shield – Medical – High Plan (PPO) Monthly Cost Bi-Weekly Cost Weekly Cost
Employee Only $351.70 $162.32 $81.16
Employee +Spouse $703.42 $324.66 $162.33
Employee + Child(ren) $633.08 $292.19 $146.10
Family $1,055.12 $486.98 $243.49
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