Page 13 - 2019 CommScope
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Employee Payroll Premiums
Coverage Level Weekly (52 Pay Periods) Semi-Monthly (24 Pay Periods)
Non-Tobacco Tobacco Non-Tobacco Tobacco
Health & Investment Plan A
Employee Only $11.13 $29.59 $24.11 $64.11
Employee+ Spouse $23.84 $42.30 $51.65 $91.65 No Premium
Employee + Child(ren) $23.11 $41.58 $50.08 $90.08 Changes for 2019!
Employee + Family $38.37 $56.83 $83.13 $123.13
Health & Investment Plan B
Employee Only $26.19 $44.66 $56.76 $96.76
Employee+ Spouse $62.19 $80.65 $134.75 $174.75 No Premium
Employee + Child(ren) $50.17 $68.64 $108.71 $148.71 Changes for 2019!
Employee + Family $83.55 $102.01 $181.03 $221.03
PPO Medical Plan
Employee Only $91.70 $110.16 $198.68 $238.68
Employee+ Spouse $214.58 $233.04 $464.92 $504.92
Employee + Child(ren) $171.66 $190.12 $371.93 $411.93
Employee + Family $290.87 $309.33 $630.22 $670.22
MyChoice: A Plan Education and Recommendation Tool
Beneit choices can be dificult. As you are making decisions for you and your family for 2019, We continue to offer
MyChoice to help you select plans for 2019. This tool will walk you through a series of questions to aid in selecting the
best plan for your needs. To access MyChoice go to the U.S. employee beneits website or call 833.554.4110 for more
information.
The MyChoice tool is intended to guide your decisions
based on how you answer a set of questions. Ultimately,
you and your family need to take time and discuss your
comfort level, risk preferences, health considerations and
cash low needs. Every person’s needs and preferences are
different and will likely change year over year. Please take
the time to consider what beneit plans are best for you.
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Coverage Level Weekly (52 Pay Periods) Semi-Monthly (24 Pay Periods)
Non-Tobacco Tobacco Non-Tobacco Tobacco
Health & Investment Plan A
Employee Only $11.13 $29.59 $24.11 $64.11
Employee+ Spouse $23.84 $42.30 $51.65 $91.65 No Premium
Employee + Child(ren) $23.11 $41.58 $50.08 $90.08 Changes for 2019!
Employee + Family $38.37 $56.83 $83.13 $123.13
Health & Investment Plan B
Employee Only $26.19 $44.66 $56.76 $96.76
Employee+ Spouse $62.19 $80.65 $134.75 $174.75 No Premium
Employee + Child(ren) $50.17 $68.64 $108.71 $148.71 Changes for 2019!
Employee + Family $83.55 $102.01 $181.03 $221.03
PPO Medical Plan
Employee Only $91.70 $110.16 $198.68 $238.68
Employee+ Spouse $214.58 $233.04 $464.92 $504.92
Employee + Child(ren) $171.66 $190.12 $371.93 $411.93
Employee + Family $290.87 $309.33 $630.22 $670.22
MyChoice: A Plan Education and Recommendation Tool
Beneit choices can be dificult. As you are making decisions for you and your family for 2019, We continue to offer
MyChoice to help you select plans for 2019. This tool will walk you through a series of questions to aid in selecting the
best plan for your needs. To access MyChoice go to the U.S. employee beneits website or call 833.554.4110 for more
information.
The MyChoice tool is intended to guide your decisions
based on how you answer a set of questions. Ultimately,
you and your family need to take time and discuss your
comfort level, risk preferences, health considerations and
cash low needs. Every person’s needs and preferences are
different and will likely change year over year. Please take
the time to consider what beneit plans are best for you.
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