Page 19 - 2021 Miami Marlins Front Office Benefits Guide
P. 19

BENEFIT PAYROLL DEDUCTIONS



               Medical:  Highmark Blue Cross Blue Shield

                                          90/70                         80/60 HDHP             70/50 PPO MLB Value
                Type of                   PPO                            with H.S.A.           Plan
                Coverage                                                                                     Bi-
                                Monthly         Bi-Weekly         Monthly        Bi-Weekly      Monthly
                                                                                                            Weekly

                Individual       $150.00           $75.00          $100.00          $50.00        $38.00     $19.00

                Employee+                                          $220.00          $110.00       $90.00     $45.00
                Child(ren)       $340.00           $170.00

                Employee                                           $240.00          $120.00       $100.00    $50.00
                + Spouse         $365.00           $182.50
                Family           $425.00           $212.50         $300.00          $150.00       $116.00    $58.00

               If you enroll in our 80/60 HDHP with H.S.A. option, the Marlins will contribute annually into your Health
               Savings Account (H.S.A.). The Employer contribution will be distributed to you on a quarterly basis
               starting in January.

               Yearly Employer Contribution Amount


               •  Employee only:  $500
               •  Employee + Child(ren): $1,000
               •  Employee + Spouse: $1,000
               •  Employee + Family: $1,200

               IRS Guidelines: The maximum contributions allowed in 2021 into your HSA from all sources (Employer +
                                   Employee) is $3,600 for an individual and $7,200 for a family.
             Dental:  MetLife

                                        Employee Cost
              Type of Coverage
                                                   Semi-
                                     Monthly
                                                  Monthly
              Individual             $12.00        $6.00

              Employee+ Child(ren)   $22.00        $11.00

              Employee + Spouse      $20.00        $10.00

              Family                 $28.00        $14.00
             Vision:  MetLife Vision Access
                 •  Zero cost - Discount Program



        Miami Marlins Front Office Employee Benefit Guide                                                    Page 19
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