Page 15 - 2013-14 NCACU Benefits & Notices
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North Central Area CU 2013-14
Employee Contributions
The chart below reflects the required 2013-14 pre-tax bi-weekly contributions for the enrollment in our
medical, dental and vision plans beginning in December 2013..
Employee + Employee +
Coverage (per pay) Single Family
Spouse Child(ren)
BCBSM High Deductible HRA 16.74 49.12 n/a 72.56
PPO Plan (includes Dental/Vision)
BCBSM Dental*
2.13 6.24 n/a 9.21
Blue Vision VSP*
When opting out of Medical coverage, dental and vision must be taken together as a
combined benefit. The per pay cost is the same for both products to reflect this.
For More Information About Our Coverage
800-637-2227 www.bcbsm.com
800-877-7195 www.vsp.com
800-423-2765 www.sunlife.com
800-346-2126 www.ebcflex.com
Liz Richard x1002
Jim Fournier x1010 www.thesalusgroup.com
866-991-9907
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