Page 13 - VSolvit 2021 Employee Benefits_Final
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VSolvit
    2021 Employee Benefits Brochure




         Employee Contributions


          Employee benefit contributions are automatically deducted from your paycheck on a pre-tax basis. Rates below are
          bi-weekly (26 payroll periods). The amount depends on the plan and if you choose to cover eligible family members.

               Medical                High Deductible OAP HSA     In-Network Only OAP Low Deductible OAP
               Employee Only                $0.00                 $67.46               $196.65
               Employee + Spouse            $108.29               $245.19              $540.76
               Employee + Child(ren)        $110.75               $205.89              $442.44
               Employee + Family            $228.88               $300.04              $741.68

               Dental                       HMO                   PPO
               Employee Only                $0.00                 $14.82
               Employee + Spouse            $5.49                 $46.29
               Employee + Child(ren)        $5.63                 $59.38
               Employee + Family            $11.12                $83.74

               Vision
               Employee Only                $0.00
               Employee + Spouse            $2.22
               Employee + Child(ren)        $2.46
               Employee + Family            $4.77


                                               Carrier               Phone                      Website
         Medical & Dental Plans           Cigna                 1-866-494-2111     www.cigna.com

         HSA Bank                         HSA Bank - Cigna      1-866-494-2111     www.mycigna.com

         FSA, DCFSA, LPFSA                Discovery             1-866-451-3399     www.discoverybenefits.com

         Vision                           EyeMed                1-866-804-0982     www.eyemed.com


         Life & Disability                Unum                  1-866-679-3054     www.unum.com

         EAP                              Cigna                 1-877-231-1492     myCigna.com

         EAP                              Unum                  1-800-854-1446     www.unum.com/lifebalance


         Accident, Critical Illness       Unum                  1-866-679-3054     www.unum.com

         Pet Insurance                    Nationwide            1-877-738-7874     www.petsnationwide.com/vsolvit

         Your HR Benefits Team            VSolvit               1-805-277-4705      benefits@vsolvit.com
                                                                Ext 177
         *Enrollment Questions






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