Page 3 - Kheder Davis & Associates - 2020 Renewal Information
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KHEDER DAVIS ASSOCIATES




                                  GROUP BENEFIT OFFERINGS







            BCBSM Simply Blue PPO H.S.A. – Mapped Medical


            $2000 Single Deductible, $4000 Family deductible followed by
            100% coinsurance to an overall maximum out of pocket of
            $3000 Single, $6000 per family per calendar year for all medical
            services, $20 Generic/$60 Preferred Brand Name/50% Non
            Preferred Brand Name/20% Preferred Specialty/25% Non
            Preferred Specialty Prescription Drugs after deductible has been
            satisfied.  (Previous:  $1500/$3000 deductible and $2500/$5000 Out of
            pocket).




            Guardian- Life Insurance


            Kheder Davis provides all full-time employees 2 x annual salary
            of Term Life Insurance and Accidental Death and
            Dismemberment up to $150,000.





            Guardian - Long-Term Disability


            Should you not be able to return to work after 90 days, LTD will
            cover 60% of monthly earnings to a maximum of $3000/month.






                       Guardian rates only increase based on the age band



          A Pediatric dental plan is set up for dependents up to the age of 19 with
          Delta Dental.  Currently no one is enrolled.
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