Page 3 - MIL_Benefits_Overview_2021_DC_MD_VA

Medical Coverage

Bi-Weekly Deductions HSA Option EPO Option Standard Option High Option

Employee Only $49.68 $113.40 $153.34 $212.37

Employee & Spouse $193.44 $333.93 $420.21 $611.61
Employee & Child(ren) $171.78 $289.51 $355.77 $527.03

Employee & Family $259.65 $432.44 $518.38 $833.84

Rates reflect bi-weekly payroll deduction.

Dental &Vision

Bi-Weekly Deductions Dental High Option Dental Low Option Vision

Employee Only $16.48 $9.34 $3.90

Employee & Spouse $34.81 $19.72 $6.56
Employee & Child(ren) $36.92 $20.92 $6.69

Employee & Family $55.21 $31.29 $10.58

Rates reflect bi-weekly payroll deduction.

We’ve got you covered

MIL paid benefits & wellness incentives:

» Group Life Insurance and AD&D: Eligible employees are insured for $50,000 of
life and $50,000 of Accidental Death and Dismemberment (AD&D).

» Group Long-Term Disability: Long-term disability benefits begin, if approved,
after you have been continuously disabled for 180 days. Benefit is 60% of your
salary up to a maximum of $10,000 per month.

» Wellness Program: We have partnered with local gyms to provide you discounted
access to your fitness goals. Participating gyms include:
* LA Fitness: Waived initiation fees, multi-club access, free fitness assessment, free
racquetball usage, and $29.99 monthly dues.

* World Gym: Waived initiation fees; your pick of three fitness plans to suit your
needs, free fitness assessment, and $14.99-34.99 monthly dues.