FY 2022-23 VISION PLAN PREMIUM RATES ADJUSTED_EXHIBIT C_.PDF

Maricopa County — Formal (2022-06-08)

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Vision Benefits – Premium Rates Adjusted – Exhibit C 
FY 2022-2023  
Based on 26 Pay Periods  
 
Full-time Active Employees 
 Plan  
 Tier  
 Pay Period 
Total Premium  
Pay Period 
Employer 
Premium  
 Pay Period 
Employee 
Premium  
               Employee 
           3.14  
         2.53  
            0.61  
EyeMed 
Employee + Spouse 
           6.01  
         4.67  
            1.34  
  
Employee + Child(ren) 
           6.08  
         5.07  
            1.01  
  
Employee + Family 
           9.15  
         7.35  
            1.80  
 
Part-time Active Employees   
 Plan  
 Tier  
 Pay Period 
Total Premium 
Pay Period 
Employer 
Premium 
 Pay Period 
Employee 
Premium 
               Employee 
           3.14  
         1.27  
            1.87  
EyeMed 
Employee + Spouse 
           6.01  
         2.34  
            3.67  
  
Employee + Child(ren) 
           6.08  
         2.54  
            3.54  
  
Employee + Family 
           9.15  
         3.68  
            5.47