Benefit Rates
Your Cost in
2023 (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
|
(58.00)
|
(62.00)
|
(59.00)
|
(66.00)
|
(125.00)
|
(125.00)
|
|
HRA
|
48.00
|
69.00
|
111.00
|
136.00
|
103.00
|
125.00
|
Traditional
|
232.00
|
433.00
|
743.00
|
963.00
|
354.00
|
439.00
|
Medical PER PAY PERIOD rates: wellness, employee
|
|
|
Employee Only
|
Employee + 1 Child
|
Employee + Spouse
|
Employee + Family
|
Two Employees + Married
|
Two Employees + Family
|
HDHP, HSA
|
(83.00)
|
(87.00)
|
(84.00)
|
(91.00)
|
(175.00)
|
(175.00)
|
|
HRA
|
23.00
|
44.00
|
86.00
|
111.00
|
53.00
|
75.00
|
Traditional
|
207.00
|
408.00
|
718.00
|
938.00
|
304.00
|
389.00
|
|
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 Child
|
Employee + Spouse
|
Employee + Family
|
Two Employee: Family
|
|
Low Plan
|
$0.00
|
$9.24
|
$9.24
|
$25.63
|
$4.10
|
|
High Plan
|
$10.28
|
$25.90
|
$25.90
|
$50.94
|
$31.35
|