Page 20 - 2022 Drive Open Enrollment Guide - Non Union
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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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