Page 10 - 2022 Clari Open Enrollment Benefits Guide
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Employee Contributions
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The cost for medical, dental, and vision benefits is shared by you and Clari. Your benefit contributions will be deducted on a pre-tax salary
reduction basis each pay period as outlined below. If you are covering a domestic partner, post-tax deductions and imputed income may
apply. If you choose to waive medical coverage through Clari, you will receive a waiver stipend in the amount of $200 per month. There
is no cost to you for life and disability benefits; premiums are fully sponsored by Clari. Additional costs apply for voluntary products as
outlined below in this document and ADP. Please reach out to Human Resources for more information at benefits@clari.com.
Employee Only Employee + Spouse/DP Employee + Child (ren) Employee + Family
Kaiser HMO (CA) $0.00 $57.50 $47.50 $100.00
Kaiser HMO (OR) $0.00 $85.00 $70.00 $152.50
Cigna PPO 700 $0.00 $65.00 $55.00 $120.00
Cigna PPO 250 $32.50 $132.50 $117.50 $215.00
Cigna HDHP $0.00 $57.50 $47.50 $100.00
Dental $0.00 $5.00 $7.50 $14.00
Vision $0.00 $1.00 $1.00 $2.00
Life/Disability No cost, fully paid by Clari
Voluntary Life Age-banded rates
If you choose to enroll in the HDHP, you will automatically be enrolled in a Health Savings Account (HSA). Clari will make a contribution
into your HSA on a monthly basis. See the HSA section for more information.
8 We've Got You Covered Your Health Your Tax-Savings Accounts Your Safety Net Your Family Your Well-being Your "Me" Time Your Contacts
