Page 19 - 2022 Chartwell Hospitality Managers

EMPLOYEE AND DEPENDENT VISION INSURANCE
All employees will be able to choose to have vision insurance for themselves and any eligible dependents. Vision
exams are paid 100% after a $10 copay and Materials are covered after a $25 copay. This coverage is 100%
employee paid and voluntary. The payroll deduction for this coverage will be:

VSP VOLUNTARY VISION FOR SALARIED ASSOCIATES (24 PAY PERIODS)
EMPLOYEE ONLY $3.29
EMPLOYEE + SPOUSE $6.37
EMPLOYEE + CHILD(REN) $6.45
EMPLOYEE + FAMILY $10.48

Amounts deducted from your paycheck qualify for pre-tax treatment that will reduce the cost of your insurance
approximately 22% to 30% with the savings in taxes (depending on your state taxation).

EMPLOYEE LIFE INSURANCE
All employees will receive $20,000 life insurance paid 100% by Chartwell Hospitality. This program covers you 24
hours a day.

EMPLOYEE SUPPLEMENTAL LIFE INSURANCE

Employee
- Coverage is available in $10,000 increments up to 5 x annual salary (rounded to the next higher $10,000)
- Minimum coverage is $10,000, Maximum coverage is $500,000, Guarantee Issue (no medical questions)
$200,000 for those being offered the coverage for the first time.
- For employees age 70 & over, maximum coverage is $50,000
- Coverage reduces 35% upon the Person's attainment of age 70, an additional 15% of the original amount at age 75
and will terminate upon retirement.

Spouse
- Coverage is available in $5,000 increments up to 2.50x the employee's annual salary (rounded to the next
higher $5,000), not to exceed 50% of the employee's benefit amount
- Minimum coverage is $5,000, Maximum coverage is $500,000, Guarantee Issue (no medical questions)
$30,000 for those being offered the coverage for the first time.
- Coverage reduces 35% upon the employee's attainment of age 65 and will terminate upon the employee's
attainment of age 70.
- Spouse coverage is only available if the employee is insured for voluntary coverage.
- Spouse’s rate is based on Employee Age.

Employee and Spouse Rate Table & Instructions (Rate based on Employees Age)
AGE MONTHLY RATE EXAMPLE: AGE-40 ELECTION-$100,000
(PER 1,000)
<25 .070 1. Find your EMPLOYEE age bracket 40-44
25-29 .070 1. 2. Locate your monthly rate for your age bracket .160
30-34 .080 3. Choose your amount of Supplemental Life insurance $100,000
35-39 .100 4. Divide #3 by 1000 ($100,000/1000) 100
40-44 .160 5. Multiply #4 by #2 (100 x .160) = Monthly Rate $16.00
45-49 .260 6. Divide #5 by 2 ($16.00/2) = per 24 payroll deduction $8.00
50-54 .500
55-59 .780
60-64 .910
65-69 1.65
70-74 3.23
75-79 8.79
80-99 19.98