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Costs by Salary and Option

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What's new for 2022

Medical, Dental and Vision

We’ve heard your feedback and understand how important affordable benefits are for you and your family. As in
2021, there will be no increases to payroll contributions for full-time employees to enroll yourself and your
dependents in GE medical, dental and vision benefits in 2022.

 
Medical Options 1 and 2 will have reduced annual deductibles and lower out-of-pocket maximums. You will also
see a lower HRA credit compared to 2021. Select the applicable “2022 Contributions” sheet below to obtain
annual deductible, co-insurance maximum and HRA credit for each option. 
There will be no changes to dental and visions plans.
There will be no changes to Tobacco User Contributions.
Working Person contributions amounts will not increase.
Non-emergent ER visits: if the claims administrator determines that your condition does not qualify as an
emergency, services will be covered at 50% (60% in 2021), after deductible.
The Health Savings Account (HSA) contribution limit will increase to $3,650 (One Person coverage) or $7,300 (Two
Person or Three or More coverage).

Expanded
WeTelemedicine

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family. That’s why we are making new telemedicine providers available through our medical plan administrators'
partner(s). You will have access to more telemedicine providers at the network discounted rate per visit, subject to
annual deductibles and coinsurance (for 2022, the average cost per visit is $49). Given this new expanded offering,
Cleveland Clinic Express Care Online will no longer be offered after December 31, 2021. Learn more.
(/pub/sl/ajax/16292)

Retirees: Please refer to the contribution chart located inside the Annual Enrollment mailing you received for the
annual contribution, annual deductible, co-insurance maximum and HRA credit for each option and coverage level. To
request a contribution chart, contact the GE Benefits Center at 1-800-252-5259 (tel: 1-800-252-5259).

GE Health Choice Contributions

View your coverage costs including health care, dental & vision contributions, annual deductible, co-insurance
maximum and HRA credits (if applicable), tobacco use, working person contributions and state surcharges.

2022 Contributions
Includes annual deductible, co-insurance maximum and HRA credits (if applicable).

 
 

2022 Full-Time 2022 Part-Time

(https://onehr.ge.com/eeview/sites/default/files/public/2022_- (https://onehr.ge.com/eeview/sites/default/files/public/2022_-
_gehc_active_ft.pdf)   _gehc_active_pt.pdf)  

2021 Contributions
Includes annual deductible, co-insurance maximum and HRA credits (if applicable).

 
2021 Full-Time  2021 Part-Time
(https://onehr.ge.com/eeview/sites/default/files/public/2021_geh (https://onehr.ge.com/eeview/sites/default/files/public/2021_ge
c_active_rates.pdf)  hc_pt_rates.pdf)    

 
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If you use tobacco, now is a good time to quit
Those who use tobacco will pay an additional $1000 in annual contributions. This applies to employees only, not
covered dependents.

If you don’t use tobacco, or you commit to quit by joining a cessation program, you will pay less. Tobacco
products include cigarettes, pipes, cigars, smokeless tobacco and electronic cigarettes.

Call Health Coach from GE at 1-866-272-6007 (tel: 1-866-272-6007) for tobacco cessation coaching or learn
more about tobacco cessation resources.

Working Person Contribution

You will pay more under GE's medical plan for each working person who has been offered and declined subsidized
coverage (that is not COBRA coverage) under another employer's medical plan. There is no maximum contribution for
Working Persons.

What is a working person?

Spouses and children (age 19+) who are offered and decline subsidized health coverage (that is not COBRA
coverage) through another employer, other than GE; and
Employees who are offered and decline subsidized health coverage (that is not COBRA coverage) through a second
job or a former employer (excluding military)
Retirees: The Working Person Contribution does not apply.

​ANNUAL PAY 2021 WEEKLY CONTRIBUTION 2022 WEEKLY CONTRIBUTION

Up to $24,999                               $0                             $0

$25,000 - $37,499                              $20                             $20

$37,500 - $49,999                              $35                             $35

$50,000 - $74,999                              $50                             $50

$75,000 - $99,999                              $70                             $70

$100,000 - $149,999                                $85                             $85

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Working Person Scenarios
SCENARIO ANSWER

If your spouse or children (age 19+) do not work... No

If your spouse or children (age 19+) work and decline their employer's coverage... Yes

If your spouse or children (age 19+) work and accept their employer's coverage... No

If your spouse or children (age 19+) work but are not offered/eligible for their employer's coverage... No

If your spouse also works for GE... No

If your children (age 19+) also works for GE... No

If you have a second job and your employer offers coverage and you decline that coverage... Yes

If you are offered coverage through your former employer (excluding military) and you decline that coverage... Yes

 
When you elect coverage, you must certify if you, a working spouse, or working dependent has declined
another employer's medical coverage (except military).

2022 Annual State Surcharges*

1 PERSON 2 PERSON 3+ PERSON
STATE                    
COVERAGE    COVERAGE     COVERAGE    

Alaska $11 $22 $34

Connecticut $5 $9 $14

Idaho $15 $29 $44

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Maine $37
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Tool. $111
 1 PERSON 2 PERSON 3+ PERSON
STATE                    
COVERAGE    COVERAGE     COVERAGE    

Massachusetts $65 $131 $196

Michigan $0 $0 $0

New Mexico $5 $10 $15

New York $146 $292 $439

Rhode Island $2 $4 $7

Vermont $52 $104 $156

2021 Annual State Surcharges*

1 PERSON 2 PERSON 3+ PERSON
STATE            
COVERAGE     COVERAGE     COVERAGE    

Alaska $5 $11 $16

Connecticut $4 $8 $12

Idaho $19 $39 $58

Maine $34 $68 $102

Massachusetts $56 $111 $167

Michigan $5 $10 $16

New Hampshire $0 $0 $0

New Mexico $8 $16 $24

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New York $176 $353 $529
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 1 PERSON 2 PERSON 3+ PERSON
STATE            
COVERAGE     COVERAGE     COVERAGE    

Rhode Island $3 $7 $10

Vermont $43 $85 $128

*Rounded to the closest whole dollar amount. Amounts are divided evenly per paycheck.  

Policies
For information on savings account details or for eligibility information regarding your eligible spouse and
dependents refer to Your Benefits Handbook – Health, Life Insurance, Disability, and Other Benefits
(https://onehr.ge.com/sl/handbook).

Need Help?

For more information about your current medical benefits or to get help with making your own elections
online (cannot enroll for you):

Contact Health Coach from GE

Phone: 1-866-272-6007 (tel: 1-866-272-6007)

To enroll by phone, verify dependent eligibility, payroll contributions and other related questions:

Contact GE Benefit Center

Phone: 1-800-252-5259 (tel:1-800-252-5259)

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