MMFS Employee Benefits Guide 2022

EMPLOYEE CONTRIBUTIONS

SEMI-MONTHLY EMPLOYEE CONTRIBUTIONS

OXFORD MEDICAL PLANS

EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

FAMILY

Freedom Access PPO

$206.75

$434.17

$361.80

$630.57

$128.81

$270.50

$225.42

$392.87

Liberty EPO

Liberty EPO H.S.A

$90.38

$189.79

$158.16

$275.65

GUARDIAN DENTAL PLANS

EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

FAMILY

Preferred PPO

$8.06

$16.20

$17.93

$26.10

Managed Dental DMO

$3.23

$6.36

$6.81

$9.95

GUARDIAN VISION PLAN

EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

FAMILY

$0.86

$1.62

$1.71

$2.35

Vision

BI-WEEKLY EMPLOYEE CONTRIBUTIONS

OXFORD MEDICAL PLANS

EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

FAMILY

Freedom Access PPO

$190.84

$400.77

$333.97

$582.06

$118.90

$249.69

$208.08

$362.64

Liberty EPO

Liberty EPO H.S.A

$83.42

$175.19

$145.99

$254.45

GUARDIAN DENTAL PLANS

EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

FAMILY

Preferred PPO

$7.44

$14.95

$16.55

$24.09

Managed Dental DMO

$2.98

$5.87

$6.29

$9.18

GUARDIAN VISION PLAN

EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

FAMILY

$0.79

$1.50

$1.58

$2.17

Vision

QUESTIONS? Call BenefitsVIP at 866.286.5354

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