Page 20 - 2017 FutureSteps

2017 Future Steps

Employee Contributions
Non-Tobacco/

Tobacco Rates The following contributions are semi-monthly (24 pay periods) and are

Here is How the effective January 1, 2017. These deductions are taken on a pre-tax basis
which, in effect, increases your take-home pay.
Program Works for
W&T Please remember: you will not be able to change your elections during

For 2017, we will continue with the plan year unless you experience a qualiied change in status.
the non-tobacco/tobacco medical
rates. Non-tobacco users will 2017 Semi-Monthly Employee Contributions
receive a 30% discounted Non-Tobacco Rates Tobacco Rates
medical rate. In order to receive Medical/Prescription Drug
this discount, you will need to Employee only $64.45 $85.41
complete an afidavit certifying
that you do not use tobacco Employee + spouse $135.34 $176.61
products prior to January 1, 2017. Employee + child(ren) $116.05 $230.92
Family $206.23 $261.67
If you are currently a tobacco Dental
user of any kind, including vapor Employee only $4.26
e-cigarettes, you will have until Employee + spouse $6.85
January 1 to either quit using
tobacco products, or complete Employee + child(ren) $7.25
a smoking cessation program Employee + family $11.30
through BlueCross BlueShield Vision
of Texas. This program is free Employee only $4.17
of charge and will provide you Employee + spouse $8.24
a certiicate upon completion. Employee + child(ren) $8.07
If you are able to provide proof Employee + family $12.26
you successfully quit tobacco
products or completed the
smoking cessation program, you
will receive the non-tobacco rates
for the year.

If you do not submit a certiicate
for completing the cessation
program or are still using tobacco
products as of January 1, 2017,
we will begin charging you the
2017 tobacco rate. Please see
page 18 for more information
regarding the tobacco cessation
program.

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