Microsoft Word - 2022 - PTwB Employee Benefits Enrollment Gu

Commonwealth Emergency Physicians

Your Cost in 2022

Monthly payroll deductions for Part time with benefits employees are detailed below:

EMPLOYEE MONTHLY DEDUCTIONS

Employee Only

Employee & Spouse Employee & Children

Employee & Family

$250.00

$797.27

$583.76

$1455.99

OAP PLUS 500 OAP PLUS HSA

$250.00

$535.16

$423.91

$1035.48

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