Page 9 - Allegacy 2019 Benefit Guide Part Time

2019 Employee Monthly Contributions

Medical Coverage – Blue Cross NC

Standard AllHealth Participation
Core Plan
Employee Allegacy Employee Allegacy

Employee $119.12 $571.25 $103.58 $586.79
Employee + 1 dep. $402.76 $717.78 $350.24 $770.30
Employee +2 or more deps. $618.28 $953.06 $537.64 $1,033.70
Standard AllHealth Participation
Buy Up Plan
Employee Allegacy Employee Allegacy
Employee $178.54 $615.43 $155.26 $638.71
Employee + 1 dep. $603.66 $708.61 $524.92 $787.35
Employee +2 or more deps. $926.68 $928.76 $805.80 $1,049.64

Dental Coverage - Unum
Core Plan Employee Allegacy
Employee $10.40 $27.04
Employee/Spouse $41.20 $40.33
Employee/Child(ren) $41.60 $45.95
Family $52.38 $79.60
Buy Up Plan Employee Allegacy
Employee $24.32 $29.03
Employee/Spouse $70.75 $44.52
Employee/Child(ren) $94.60 $53.45
Family $119.44 $88.72

Voluntary Vision Coverage - Superior
Vision Coverage 100% Employee Paid
Employee $8.20
Employee + 1dep. $11.98
Family $23.46

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