Page 28 - Apricity Benefits Guide
P. 28
2020
Apricity Benefits Overview
Voluntary AD&D—Employee Contributions
Voluntary AD&D—per $1K per Month
Employee Spouse Child(ren)
$0.025 $0.025 $0.025
Note: Same monthly rate for children, regardless of the number of children enrolled.
Voluntary AD&D Insurance Premium Estimator*
Before you elect voluntary AD&D insurance coverage, it’s
wise to consider how much you and your family need. Once
you decide the total amount, estimate your AD&D insurance
premium to ind out how much you’ll spend each pay period.
Step 1
Coverage amount ÷ 1,000 = Step 1 Total Rounded to
next higher 1,000
Step 2
Total from step 1 X 0.025 = Your estimated monthly
AD&D premium
Step 3
Monthly AD&D X 12 = Step 3 total
premium ÷ 26 = Your estimated per
paycheck contribution
* This is an estimate only. Your rates 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 28
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
Apricity Benefits Overview
Voluntary AD&D—Employee Contributions
Voluntary AD&D—per $1K per Month
Employee Spouse Child(ren)
$0.025 $0.025 $0.025
Note: Same monthly rate for children, regardless of the number of children enrolled.
Voluntary AD&D Insurance Premium Estimator*
Before you elect voluntary AD&D insurance coverage, it’s
wise to consider how much you and your family need. Once
you decide the total amount, estimate your AD&D insurance
premium to ind out how much you’ll spend each pay period.
Step 1
Coverage amount ÷ 1,000 = Step 1 Total Rounded to
next higher 1,000
Step 2
Total from step 1 X 0.025 = Your estimated monthly
AD&D premium
Step 3
Monthly AD&D X 12 = Step 3 total
premium ÷ 26 = Your estimated per
paycheck contribution
* This is an estimate only. Your rates 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 28
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
