Last item for navigation

 Benefit Rates 

                

 

Your Cost in 2022 (per pay period x 20 pay periods)

We continue to provide benefit plans which promote healthy living. Please review the plans and select the plan that works best for you and your family.  Rates are paid over 10 months for 12 months of coverage. Amount in parentheses is a credit to the HSA account.  




Medical PER PAY PERIOD Rates: base


Employee Only

Employee + 1 Child

Employee + Spouse

Employee + Family

Two Employees + Married

Two Employees + Family

HDHP, HSA

(62.00)

(66.00)

(63.00)

(71.00)

(135.00)

(135.00)

HRA

44.00

64.00

103.00

126.00

95.00

116.00

Traditional

215.00

402.00

690.00

895.00

329.00

408.00


Medical PER PAY PERIOD rates: wellness, employee



Employee Only

Employee + 1 Child

Employee + Spouse

Employee + Family

Two Employees + Married

Two Employees + Family

HDHP, HSA

(87.00)

(91.00)

(88.00)

(96.00)

(185.00)

(185.00)

HRA

19.00

39.00

78.00

101.00

45.00

66.00

Traditional

190.00

377.00

665.00

870.00

279.00

358.00




Vision

 

VISION PER PAY PERIOD RATES

 

 

Employee Only

Employee + Child

Employee + Spouse

Family

Basic Vision

$0.00

$0.00

$0.00

$0.00

Enhanced Vision [Buy-up]

$3.61

$7.24

$6.87

$10.95

 


 

Dental

 

DENTAL PER PAY PERIOD RATES

 

 

Employee Only

Employee + 1

Employee + Spouse

Two Employee: Family

Low Plan

$0.00

$9.07

$25.11

$4.02

High Plan

$10.03

$25.39

$49.94

$30.73

 


40 Douglass Avenue NW, Roanoke, VA 24012 Phone 540-853-2502