Page 8 - 2018-19 MYNEXUS Benefits Guide
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2018–19 BENEFITS ENROLLMENT
Pre-Tax Bi-Weekly Employee Contributions
Choice Care PPO Choice Care POS
Buy-Up Buy-Up
Base Plan Plan Base Plan Plan
Employee $35.22 $70.21 $19.12 $39.43
Employee and $156.55 $226.51 $124.36 $164.96
Spouse
Employee and $126.71 $191.43 $96.93 $134.48
Child(ren)
Family $211.93 $311.64 $166.06 $223.91
TOBACCO SURCHARGE
As you enroll for benefits, you must complete a tobacco affidavit and indicate
whether you use tobacco. Tobacco includes cigars, pipes, cigarettes, snuff,
snus, dip, chewing tobacco, and vapor cigarettes.
If you are currently a tobacco user you will be subject to the tobacco surcharge
of $40 per pay period, however; you are provided the opportunity to
participate in the Humana Tobacco Cessation Program, at no charge to you, or
participate in a physician approved program. You must complete the program
in order to be deemed tobacco free. In order for the surcharge to be waived
you must be tobacco free for at least 90 days.
If you complete the program within three months following your May 1, 2018
effective date, or within three months of your enrollment date if hired after
April 1, you will receive a one-time reimbursement for the three months of
tobacco surcharge you paid, and you will pay the discounted medical premium
for the remainder of the plan year.
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Pre-Tax Bi-Weekly Employee Contributions
Choice Care PPO Choice Care POS
Buy-Up Buy-Up
Base Plan Plan Base Plan Plan
Employee $35.22 $70.21 $19.12 $39.43
Employee and $156.55 $226.51 $124.36 $164.96
Spouse
Employee and $126.71 $191.43 $96.93 $134.48
Child(ren)
Family $211.93 $311.64 $166.06 $223.91
TOBACCO SURCHARGE
As you enroll for benefits, you must complete a tobacco affidavit and indicate
whether you use tobacco. Tobacco includes cigars, pipes, cigarettes, snuff,
snus, dip, chewing tobacco, and vapor cigarettes.
If you are currently a tobacco user you will be subject to the tobacco surcharge
of $40 per pay period, however; you are provided the opportunity to
participate in the Humana Tobacco Cessation Program, at no charge to you, or
participate in a physician approved program. You must complete the program
in order to be deemed tobacco free. In order for the surcharge to be waived
you must be tobacco free for at least 90 days.
If you complete the program within three months following your May 1, 2018
effective date, or within three months of your enrollment date if hired after
April 1, you will receive a one-time reimbursement for the three months of
tobacco surcharge you paid, and you will pay the discounted medical premium
for the remainder of the plan year.
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