Page 5 - 2022 Oerlikon Benefits Guide

Benefit Costs

Your payroll contributions for medical, dental and vision benefits are shown below.

Medical Wellness* Non-Wellness
HDHP / HSA Monthly Bi-Weekly Weekly Monthly Bi-Weekly Weekly

Employee Only $77 $35.54 $17.77 $117 $54 $27
Employee + Spouse $200 $92.31 $46.15 $240 $110.77 $55.38
Employee + Child(ren) $179 $82.62 $41.31 $219 $101.08 $50.54
Family $235 $108.46 $54.23 $275 $126.92 $63.46

Medical Wellness* Non-Wellness
PPO Monthly Bi-Weekly Weekly Monthly Bi-Weekly Weekly
Employee Only $118 $54.46 $27.23 $158 $72.92 $36.46

Employee + Spouse $317 $146.31 $73.15 $357 $164.77 $82.38
Employee + Child(ren) $282 $130.15 $65.08 $322 $148.62 $74.31
Family $368 $169.85 $84.92 $408 $188.31 $94.15
*If you completed the 2021 wellness program requirements you will be charged the wellness contribution for medical coverage i n 2022.

Dental Monthly Bi-Weekly Weekly
Employee Only $9.50 $4.38 $2.19
Employee + Spouse $23.50 $10.85 $5.42

Employee + Child(ren) $25.50 $11.77 $5.88
Family $38.00 $17.54 $8.77

Vision Monthly Bi-Weekly Weekly
Employee Only $2.20 $1.02 $0.51
Employee + 1 $3.29 $1.52 $0.76

Employee + 2 or more $5.41 $2.50 $1.25
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