Page 9 - 2017-18 Ed 1st CU Benefits & Notices
P. 9

Education First CU  2017-18


           For More Information About Our Coverage


                                         877-844-4999                           www.myuhc.com


                                         877-503-7064                www.beazley.com/accident&health


                                         800-332-0366                     www.unitedconcordia.com


                                         866-939-3633                          www.eyemed.com


                                         800-451-4531               www.assurantemployeebenefits.com


                                         800-775-8805                     www.mutualofomaha.com


                                         800-346-2126                           www.ebcflex.com

                                     Michele Piirala x7427
                                    Rick Skillington x7430                 www.thesalusgroup.com
                                         866-991-9907


           Employee Contributions


           The chart below reflects the required 2017-18 pre-tax per pay contributions for the enrollment in our
           medical, dental and vision plans.

                                                                    Employee +       Employee +
            Coverage (per pay)                        Single                                            Family
                                                                      Spouse          Child(ren)
            UHC Sliver Choice Plus 3000 Plan                     17% of combined monthly premium
            (POS)  + Beazley GAP Plan

            United Concordia Dental                   $ 2.66           $ 5.59           $ 5.86          $ 9.57


            EyeMed Vision Plan                        $ 0.52           $ 0.98             n/a           $ 1.44




           Spousal Surcharge

           If  your  spouse  is  eligible  to  enroll  in  his  or  her  employer-provided  medical  and/or  prescription  drug
           coverage, and declines coverage under that plan, you will be charged an additional spousal premium
           surcharge of $500 per month.

           Additional requirements for when this surcharge will apply will be included in your enrollment materials.
           Any surcharge for your spouse will be added to your premium and deducted on a pre-tax basis.



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