Page 17 - 2021-22 Velocity Employee Benefits Brochure

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2021–2022 Employee Benefits Brochure

Employee Contributions

Your contributions toward the cost of benefits are automatically deducted from your paycheck on a pre- tax basis.
The rates below are bi-weekly. The amount will depend on the plan you select and if you choose to cover eligible
family members.

Medical Contributions
Aetna OAMC POS HDHP (H.S.A) Aetna HMO- CA Only
Employee only $76.28 Employee only $66.61
Employee + spouse $347.52 Employee + spouse $225.78
Employee + child(ren) $221.54 Employee + child(ren) $166.56
Employee + family $445.51 Employee + family $344.21

Aetna OAMC POS (PPO)
Employee only $86.17
Employee + spouse $392.60
Employee + child(ren) $250.27
Employee + family $503.30

Dental Contributions Vision Contributions
Aetna Dental PPO VSP Vision - Employer Paid
Employee only $6.97 Employee only $0
Employee + spouse $29.22 Employee + spouse $0
Employee + child(ren) $30.87 Employee + child(ren) $0
Employee + family $46.57 Employee + family $0

Aetna Dental HMO
Employee only $1.63
Employee + spouse $5.37
Employee + child(ren) $5.70
Employee + family $8.79

Important Contacts:
Phone Website

Aetna (Medical HMO) 1-800-445-5299 www.aetna.com
Aetna (Medical PPO/H.S.A) 1-877-204-9186 www.aetna.com
Aetna (Dental) 1-877-238-6200 www.aetna.com
Teledoc 1-855-835-2362 www.teladoc.com/aetna/
VSP (Vision) 1-800-877-7195 www.vsp.com
Cigna (Life & STD) 1-800-362-4462 www.cigna.com
Cigna (Life Assistance Program) 1-800-538-3543 www.cigna.com
Nationwide (Pet Insurance) 1-877-738-7874 www.petsnationwide.com
Rocket lawyer (Legal Benefits) 1-877-881-0947 Login and Account Registration |
Rocket Lawyer

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