Page 24 - Apricity Benefits Guide
P. 24
2020
Apricity Benefits Overview
STD Premium Estimator
If you elect employee-paid STD coverage (paid on an after-tax
basis) the estimated cost is:
Step 1
Weekly base pay X 0.6 = Weekly beneit amount
not to exceed $1,500
Step 2
Total from step 1 ÷ 10 = Step 2 Total
Step 3
Total from step 2 X $1.088 = Your estimated monthly
STD premium
Step 4
Monthly STD X 12 = Step 4 Total
premium from
above ÷ 26 = Your estimated paycheck
contribution
* This is an estimate only. Your rate will be calculated during the enrollment process.
LTD Premium Estimator
If you elect employee-paid LTD coverage (paid on an after-tax
basis) the estimated cost is:
Step 1
Monthly base pay ÷ 100 = Step 1 total
Step 2
Total from step 1 X Age band = Your estimated monthly
rate in LTD premium
chart
Step 3
Monthly LTD X 12 = Step 3 total
premium from
above ÷ 26 = Your estimated paycheck
contribution
* This is an estimate only. Your rate will be calculated during the enrollment process.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 24
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
Apricity Benefits Overview
STD Premium Estimator
If you elect employee-paid STD coverage (paid on an after-tax
basis) the estimated cost is:
Step 1
Weekly base pay X 0.6 = Weekly beneit amount
not to exceed $1,500
Step 2
Total from step 1 ÷ 10 = Step 2 Total
Step 3
Total from step 2 X $1.088 = Your estimated monthly
STD premium
Step 4
Monthly STD X 12 = Step 4 Total
premium from
above ÷ 26 = Your estimated paycheck
contribution
* This is an estimate only. Your rate will be calculated during the enrollment process.
LTD Premium Estimator
If you elect employee-paid LTD coverage (paid on an after-tax
basis) the estimated cost is:
Step 1
Monthly base pay ÷ 100 = Step 1 total
Step 2
Total from step 1 X Age band = Your estimated monthly
rate in LTD premium
chart
Step 3
Monthly LTD X 12 = Step 3 total
premium from
above ÷ 26 = Your estimated paycheck
contribution
* This is an estimate only. Your rate will be calculated during the enrollment process.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 24
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31