Page 13 - VSolvit 2021 EB Brochure_Updated Aug 2021
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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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