Page 15 - 2013 Salus Group Benefits and Notices

Benefits Partner, LLC dba Salus Group 2013

Employee Contributions

The chart below reflects the required 2013 pre-tax semi-monthly (24) contributions for the enrollment in
our medical, dental and vision plans.

Employee + Employee +
Coverage (per pay) Single Family
Spouse Child(ren)
BCN High Deductible HRA HMO 32.50 75.83 n/a 75.83
Plan

MetLife Voluntary Dental* 19.50 36.87 n/a 60.13

Superior Voluntary Vision* 19.50 36.87 n/a 60.13

 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

800-662-6667 www.bcbsm.com

800-423-2765 www.lfg.com

800-638-5000 www.metlife.com

800-507-3800 www.superiorvision.com

800-346-2126 www.ebcflex.com

Liz Richard x1002 www.thesalusgroup.com
866-991-9907

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