Page 8 - 2022 Infoblox Benefits Guide
P. 8
Spending Income Optional
Contributions
Medical
Contents Eligibility Medical C on tributions Dental Vision Accounts Protection Benefits Contacts
Monthly
Contributions
Cigna HDHP Cigna PPO
Medical
Employer Employee Employer Employee
Employee Only $621.35 $53.00 $758.74 $203.00
Employee + Spouse $1,352.28 $142.00 $1,582.46 $546.00
Employee + Child(ren) $1,103.97 $117.00 $1,293.56 $446.00
Employee + Family $1,907.21 $202.00 $2,229.48 $774.00
Kaiser HDHP Kaiser HMO
Medical
Employer Employee Employer Employee
Employee Only $467.48 $53.00 $516.93 $172.00
Employee + Spouse $1,003.06 $142.00 $1,052.66 $463.00
Employee + Child(ren) $923.96 $117.00 $999.87 $378.00
Employee + Family $1,359.43 $202.00 $1,410.80 $656.00
Cigna
Dental
Employer Employee
Employee Only $36.72 $18.00
Employee + Spouse $72.65 $37.00
Employee + Child(ren) $90.84 $46.00
Employee + Family $126.78 $65.00
VSP
Vision
Employer Employee
Employee Only $6.52 $2.00
Employee + Spouse $11.59 $3.00
Employee + Child(ren) $11.91 $3.00
Employee + Family $19.01 $5.00
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