Page 12 - 2022 SoFi - August Open Enrollment

Premiums

SoFi contributes 100% of the premiums for both you and your dependent(s) for the Cigna OAP/PPO High Deductible
Health Plan with HSA, as well as your dental, vision and life and disability plans.
Employee Contributions for voluntary life, FSA, HSA, LegalShield and medical plans are taken on 26 pay- periods
each year. This means that contributions will occur bi-weekly.

2022 RATES WHAT YOU PAY PER 26 PAY PERIODS
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family
MEDICAL
Cigna OAP/PPO Paid 100% by SoFi Paid 100% by SoFi Paid 100% by SoFi Paid 100% by SoFi
HDHP with HSA
Cigna OAP/PPO $30 $65 $55 $90
Cigna OAPIN $45 $100 $80 $140
Kaiser HMO $35 $70 $60 $95
DENTAL
Delta Dental Paid 100% by SoFi Paid 100% by SoFi Paid 100% by SoFi Paid 100% by SoFi
VISION
Ameritas VSP or Paid 100% by SoFi Paid 100% by SoFi Paid 100% by SoFi Paid 100% by SoFi
EyeMed Network
VOLUNTARY PLANS
LegalShield $7.27 $7.27 $7.27 $7.27

Imputed Income for Registered Domestic Partners

If you elect to enroll your Registered Domestic Partner and/or dependents of a Registered Domestic
Partner, you will have after-tax contributions and imputed income. Please be aware the IRS considers SoFi’s
contribution toward the cost of the coverage as imputed income. Imputed income is taxable – that is,
it increases your taxable gross income for federal and state income taxes as well as for FICA (Social Security
and Medicare) and taxes are withheld from your paycheck. These rates are subject to change due to
underwriting. Please consult with your tax advisor.

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