Page 4 - Lansinng Brewing Company - 2020 Benefit Guide
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Lansing Brewing Company Dental & Vision Benefits

                                                     Effective October 1, 2020

                                                   Delta Dental

                                           Current           Renewal
                                        Delta Dental  Delta Dental                  Employee Cost Per Pay
                                            Direct            Direct


     SINGLE                                $36.90             $36.90               Single                   $4.26
     DOUBLE                                $70.99             $70.99               Two Person               $8.19
     FAMILY                                $152.05           $152.05               Family                 $17.54


                                   Benefits

     Deductible                             None               None

     Preventive Services                    100%               100%


     Basic Services                          50%               50%


     Major Services                          50%               50%


     Annual Maximum                        $1,000             $1,000



                                                      EyeMed


                                                             Renewal

                                          Eye Med            Eye Med                Employee Cost Per Pay
                                            Vision            Vision

     SINGLE                                 $7.53              $7.53               Single                   $0.87
     DOUBLE                                $14.30             $14.30               Two Person               $1.65
     FAMILY                                $21.00             $21.00               Family                   $2.42


                                   Benefits

     Eye Exam                                $10               $10

     Lenses/Frames/Contacts                  $25               $25

     Allowance                              $175               $175


     Frequency                            12/12/12           12/12/12
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