Page 5 - 2018 BH Management Guide
P. 5
BH Management Services, LLC
2018 Employee Cost Basic Life and AD&D
Summary Administered by The Hartford—
employer-paid, no cost to
Medical employee.
Administered by Wellmark Blue Cross Blue Shield. Voluntary Life and
AD&D
Coverage Tier Monthly Cost Cost Per 24 Pay Periods
Employee Only $155.75 $77.88 Administered by The Hartford—
Employee and Spouse $416.32 $208.16 employee pays 100% of the cost
Employee and Child(ren) $375.08 $187.54 of coverage.
Family $638.77 $319.39
Short Term Disability
Doctor on Demand Administered by The Hartford—
Available to medical plan participants only—no cost to employee. employee pays 100% of the cost
of coverage.
Health Advocate
Available to medical plan participants only—no cost to employee. Long Term Disability
Administered by The Hartford—
Dental employer-paid, no cost to
Administered by Delta Dental. employee.
Coverage Tier Monthly Cost Cost Per 24 Pay Periods EAP
Employee Only $22.00 $11.00 Administered by ACI Specialty
Employee and Spouse $45.00 $22.50
Employee and Child $45.00 $22.50 Beneits—no cost to employee for
Family $75.00 $37.50 this coverage.
Vision Voluntary Benefits—
Accident, Critical
Administered by Avesis. Illness, and Whole Life
Coverage Tier Monthly Cost Cost Per 24 Pay Periods Insurance
Employee Only $6.03 $3.02 Administered by UNUM—
Employee and Spouse $11.38 $5.69 employee pays 100% of
Employee and Child(ren) $11.82 $5.91 individually-rated policy.
Family $15.96 $7.98
5
2018 Employee Cost Basic Life and AD&D
Summary Administered by The Hartford—
employer-paid, no cost to
Medical employee.
Administered by Wellmark Blue Cross Blue Shield. Voluntary Life and
AD&D
Coverage Tier Monthly Cost Cost Per 24 Pay Periods
Employee Only $155.75 $77.88 Administered by The Hartford—
Employee and Spouse $416.32 $208.16 employee pays 100% of the cost
Employee and Child(ren) $375.08 $187.54 of coverage.
Family $638.77 $319.39
Short Term Disability
Doctor on Demand Administered by The Hartford—
Available to medical plan participants only—no cost to employee. employee pays 100% of the cost
of coverage.
Health Advocate
Available to medical plan participants only—no cost to employee. Long Term Disability
Administered by The Hartford—
Dental employer-paid, no cost to
Administered by Delta Dental. employee.
Coverage Tier Monthly Cost Cost Per 24 Pay Periods EAP
Employee Only $22.00 $11.00 Administered by ACI Specialty
Employee and Spouse $45.00 $22.50
Employee and Child $45.00 $22.50 Beneits—no cost to employee for
Family $75.00 $37.50 this coverage.
Vision Voluntary Benefits—
Accident, Critical
Administered by Avesis. Illness, and Whole Life
Coverage Tier Monthly Cost Cost Per 24 Pay Periods Insurance
Employee Only $6.03 $3.02 Administered by UNUM—
Employee and Spouse $11.38 $5.69 employee pays 100% of
Employee and Child(ren) $11.82 $5.91 individually-rated policy.
Family $15.96 $7.98
5
