Page 19 - Peak Technologies 2023 Benefit Guide
P. 19

Employee Benefit Costs




        Bi-Weekly




                                            Medical Employee Contributions
                                          Direct Access 4            Direct Access 3              EPO HSA 13

          Employee Only                      $132.00                    $126.00                     $101.00
          Employee & Spouse                  $316.00                    $302.00                     $240.00
          Employee & Child(ren)              $237.00                    $226.00                     $184.00
          Family                             $427.00                    $408.00                     $317.00

             MetLife Dental Employee Contributions                            EyeMed Vision Plan
          Employee Only                       $6.00              Employee Only                       $1.53
          Employee & Spouse                   $11.00             Employee & Spouse                   $2.91
          Employee & Child(ren)               $11.50             Employee & Child(ren)               $3.06
          Family                              $16.00             Family                              $4.50

                  Allstate Group Indemnity Plan                      New York Life Group Life Insurance

          Employee Only                       $6.81
          Employee & Spouse                   $18.48
                                                                 All                                 $0.46
          Employee & Child(ren)               $11.79
          Family                              $19.95

                                      New York Life Supplemental Life Insurance
                        Employee & Spouse Per
                                                                             Rate per $1,000  of Coverage
                          $1,000  of Coverage
                                  <20                                                   $0.090
                                  20-24                                                 $0.090
                                  25-29                                                 $0.102
                                  30-34                                                 $0.102
                                  35-39                                                 $0.131
                                  40-44                                                 $0.169
                                  45-49                                                 $0.242
                                  50-54                                                 $0.380
                                  55-59                                                 $0.626

                                  60-64                                                 $0.971
                                  65-69                                                 $1.580
                                  70-74                                                 $2.748
                                  75-79                                                 $4.619
                                  80+                                                   $8.027


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