Rag & Bone - 2023 Benefit Guide

Employee Weekly Contributions

Medical

Level of Coverage

Medical HDHP

Medical IN

Medical PPO

Employee Only

$31.26

$41.62

$66.59

Employee + Spouse or Domestic Partner

$100.53

$101.94

$145.20

Employee + Child(ren)

$90.43

$92.11

$130.30

Employee + Family

$143.62

$145.64

$207.42

Dental

Level of Coverage

Dental DHMO

Dental Low

Dental High

Employee Only

$3.18

$9.09

$11.59

Employee + One Dependent

$5.93

$17.74

$22.02

Employee + Family

$9.73

$30.78

$39.96

Vision

Level of Coverage

Vision

Employee Only

$1.48

Employee + One Dependent

$2.83

Employee + Family

$4.60

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