Page 20 - 2022 Drive Open Enrollment Guide - Non Union
P. 20

Monthly, Bi-Weekly & Weekly Employee Contributions:

         Dental and Vision




          Empire -         Base Plan     Base Plan     Base Plan          High Plan     High Plan      High Plan
          Dental           Monthly       Bi-Weekly    Weekly Cost       Monthly Cost    Bi-Weekly    Weekly Cost
                             Cost          Cost                                           Cost

          Employee Only     $22.13        $10.21         $5.11             $29.76        $13.74         $6.87
          Employee
                            $42.95        $19.82         $9.91             $59.93        $27.66         $13.83
          +Spouse
          Employee +        $48.96        $22.60        $11.30             $68.23        $31.49         $15.75
          Child(ren)
          Family            $66.69        $30.78        $15.39            $108.23        $49.95         $24.98

          Empire- Vision   Base Plan     Base Plan     Base Plan          High Plan     High Plan      High Plan
                           Monthly       Bi-Weekly    Weekly Cost       Monthly Cost    Bi-Weekly    Weekly Cost
                             Cost          Cost                                           Cost

          Employee Only     $5.01         $2.31          $1.16             $6.58          $3.04         $1.52
          Employee
                            $10.02        $4.62          $2.31             $13.16         $6.07         $3.04
          +Spouse
          Employee +        $10.27        $4.74          $2.37             $13.49         $6.23         $3.11
          Child(ren)
          Family            $15.28        $7.05          $3.53             $20.07         $9.26         $4.63















































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