Page 17 - Adreima Enrollment Guide
P. 17
Adreima
2016 Team Member Costs
Semi-Monthly Contributions
Medical—BCBSIL The rates shown are based on a semi-
CDHP Non-tobacco Tobacco ** monthly pay cycle (24 pay periods per
Team member only $37 .50 $87 .50 year) .
Team member + spouse $142 .50 $192 .50 Basic Life and Accident Insurance and
Team member + child(ren) $127 .50 $177 .50 Long-Term Disability Insurance are
Team member + family $210 .00 $260 .00 provided to you as an team member at no
Traditional PPO Plan Non-tobacco Tobacco ** charge .
Team member only $85 .00 $135 .00 Voluntary Life/Accidental Death &
Team member + spouse $230 .00 $280 .00 Dismemberment (AD&D) and Voluntary
Team member + child(ren) $200 .00 $250 .00 Short-Term Disability (STD) rates are
Team member + family $325 .00 $375 .00 based on your age . Please see Human
Resources for rates .
Seed Money * Total Seed Money *
First-Time CDHP (excluding irst-time
Bonus bonus)
Team member only $200 $300
Team member + spouse $200 $400
Team member + child(ren) $200 $400
Team member + family $200 $400
Note: Adreima is paying approximately 70–85 percent of total costs . Compared to our
competitors, this is signiicantly higher than average market employer contributions.
Dental—Aetna
Per Pay Period Base Plan Buy-Up Plan
Team member only $6 .00 $12 .00
Team member + spouse $10 .00 $19 .00 * If you are enrolling the CDHP for the irst
Team member + child(ren) $11 .00 $21 .00 time, you will receive a one-time seed money
bonus of $200 . All team members enrolled
Team member + family $17 .00 $30 .00 in the CDHP in 2016 will receive seed money
deposited into your account each pay period
during the rest of 2016 .
Note: although the costs of our dental plans are increasing greatly from last year,
Adreima pays a portion of the total cost so Team Members can elect dental coverage at a
competitive rate . Your semi-monthly contributions are still less than the average employee ** For team members who use tobacco, a
cost among our competitors . tobacco surcharge will be included . You will
be considered a tobacco user if you have used
tobacco in any form at any point during the
Vision—Superior Vision last six months . To help ease this transition
for team members who wish to stop using
Vision Plan Per Pay Period tobacco, Adreima will offer a smoking cessation
Team member only $3 .71 program for 2016 . Upon completion of this
program, team members will earn back the
Team member + spouse $7 .35 additional amount they were charged from
January 1, 2016 to the date of completion in
Team member + child(ren) $7 .20 the program .
Team member + family $10 .95
17
2016 Team Member Costs
Semi-Monthly Contributions
Medical—BCBSIL The rates shown are based on a semi-
CDHP Non-tobacco Tobacco ** monthly pay cycle (24 pay periods per
Team member only $37 .50 $87 .50 year) .
Team member + spouse $142 .50 $192 .50 Basic Life and Accident Insurance and
Team member + child(ren) $127 .50 $177 .50 Long-Term Disability Insurance are
Team member + family $210 .00 $260 .00 provided to you as an team member at no
Traditional PPO Plan Non-tobacco Tobacco ** charge .
Team member only $85 .00 $135 .00 Voluntary Life/Accidental Death &
Team member + spouse $230 .00 $280 .00 Dismemberment (AD&D) and Voluntary
Team member + child(ren) $200 .00 $250 .00 Short-Term Disability (STD) rates are
Team member + family $325 .00 $375 .00 based on your age . Please see Human
Resources for rates .
Seed Money * Total Seed Money *
First-Time CDHP (excluding irst-time
Bonus bonus)
Team member only $200 $300
Team member + spouse $200 $400
Team member + child(ren) $200 $400
Team member + family $200 $400
Note: Adreima is paying approximately 70–85 percent of total costs . Compared to our
competitors, this is signiicantly higher than average market employer contributions.
Dental—Aetna
Per Pay Period Base Plan Buy-Up Plan
Team member only $6 .00 $12 .00
Team member + spouse $10 .00 $19 .00 * If you are enrolling the CDHP for the irst
Team member + child(ren) $11 .00 $21 .00 time, you will receive a one-time seed money
bonus of $200 . All team members enrolled
Team member + family $17 .00 $30 .00 in the CDHP in 2016 will receive seed money
deposited into your account each pay period
during the rest of 2016 .
Note: although the costs of our dental plans are increasing greatly from last year,
Adreima pays a portion of the total cost so Team Members can elect dental coverage at a
competitive rate . Your semi-monthly contributions are still less than the average employee ** For team members who use tobacco, a
cost among our competitors . tobacco surcharge will be included . You will
be considered a tobacco user if you have used
tobacco in any form at any point during the
Vision—Superior Vision last six months . To help ease this transition
for team members who wish to stop using
Vision Plan Per Pay Period tobacco, Adreima will offer a smoking cessation
Team member only $3 .71 program for 2016 . Upon completion of this
program, team members will earn back the
Team member + spouse $7 .35 additional amount they were charged from
January 1, 2016 to the date of completion in
Team member + child(ren) $7 .20 the program .
Team member + family $10 .95
17
