BENEFITS

FY22 HEALTH PLAN INFORMATION

Employee, Employee & Spouse, Employee & Children, Family Rates


  • Option 1 - HDHP 100%, $6500 Deductible (2xFam - Embedded), $7000 MOOP, $30 PCP/$60 SPC OV Inclusive (after deductible). RX: Medical Decutible $15 - $45 - $75 - $200 (All copays after deductible)

    • Employee Emp & Spouse Emp & Kids Family

    • EPO - $370 $758 $628 $1,072

    • PPO - $411 $842 $698 $1,191

  • Option 3 - Partners 70, $5000 Deductible (2xFam), $7000 MOOP, $30 PCP/$60 SPC OV inclusive, $300 ER, $75 UC. RX: $100 Ded (T3-T4) - $15 - $45 - $75 - $200

    • Employee Emp & Spouse Emp & Kids Family

    • EPO - $439 $901 $747 $1,274

    • PPO - $488 $1,001 $830 $1,416

  • Option 4 - Partners 70, $3500 Deductible (3xFam), $6000 MOOP, $30 PCP/$60 SPC OV inclusive, $300 ER, $75 UC. RX: $100 Ded (T3-T4) - $15 - $45 - $75 - $200

    • Employee Emp & Spouse Emp & Kids Family

    • EPO - $482 $988 $819 $1,397

    • PPO - $535 $1,097 $910 $1,552

DENTAL

FY22 METLIFE PLAN INFORMATION

Option 1 - High Plan Option 2

  • $25 Individual $50 Individual

  • $75 Family $150 Family

Care information

  • Preventative Care 100%

  • Basic 90%

  • Major 60%

  • Endodontics 90%

  • Peridontics 90%

  • Oral Surgery 90%

  • Orthodontia 50%