Rag & Bone - 2023 Benefit Guide

Employee Bi-Weekly Contributions

Medical

Level of Coverage

Medical HDHP

Medical IN

Medical PPO

Employee Only

$62.52

$83.24

$133.19

Employee + Spouse or Domestic Partner

$201.07

$203.89

$290.40

Employee + Child(ren)

$180.86

$184.22

$260.60

Employee + Family

$287.24

$291.27

$414.83

Dental

Level of Coverage

Dental DMHO

Dental Low

Dental High

Employee Only

$6.36

$18.17

$23.19

Employee + One Dependent

$11.86

$35.48

$44.03

Employee + Family

$19.46

$61.56

$79.91

Vision

Level of Coverage

Vision

Employee Only

$2.96

Employee + One Dependent

$5.65

Employee + Family

$9.20

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