Page 11 - Corporate Dining Concepts THC Benefits Guide V1
P. 11

Total Health Care Major Medical Plan + GAP Rates











               THC HMO Silver $3,000                                                THC HMO $5,000 HDHP





                             With $1,000  With $4,000                                              With $1,000  With $4,000
           48 Pays                                                              48 Pays
                                   GAP                  GAP                                             GAP                   GAP

           EE Only               $50.02                $64.78                                        Based On
                                                                                 EE Only                                    $50.28
        EE + Spouse              $95.55               $124.22                                          Salary

                                                                             EE + Spouse               $76.24               $104.91
         EE + Child              $93.04                $117.47
                                                                               EE + Child              $73.73               $98.16
              EE +
                                 $110.96              $135.39
           Children                                                                EE +                $87.01               $111.44

                                                                                Children
            Family               $118.54              $155.84
                                                                                 Family                $94.60               $131.89











                                                                                                                                              11
   6   7   8   9   10   11   12   13   14   15   16