Page 16 - Down East Wood Ducks 2022 Benefits Guide
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2022 BENEFIT PAYROLL DEDUCTIONS
Medical: Highmark Blue Cross Blue Shield
Employee Cost
Highmark PPO
Plan
Monthly Bi-Weekly
Employee Only $40.00 $18.46
Employee+ $252.02 $116.32
Child(ren)
Employee + Spouse $275.90 $127.34
Family $433.20 $199.93
Dental: United Concordia Vision: Highmark/Davis Vision
Employee Cost Per Month Employee Cost Per Month
United Concordia Dental Highmark Vision Plan
Plan
Monthly Bi-Weekly Monthly Bi-Weekly
Employee Only $6.35 $2.93 Employee Only $1.69 $0.78
Employee + Child(ren) $12.40 $5.72 Employee + Child(ren) $3.63 $1.68
Employee + Spouse $13.02 $6.01 Employee + Spouse $3.63 $1.68
Family $19.07 $8.80 Family $3.63 $1.68
2022 Down East Wood Ducks Benefit Guide Page 16
