Page 325 - Onboarding May 2017

Centralized Supply Chain Services | 2016-2017 Benefits Overview

BCBSKC MEDICAL RATES EFFECTIVE DECEMBER 1, 2016
Preferred Care Blue: $500
Deductible Monthly Rate Company Pays You Pay Per Pay Period Deductions
Employee Only $663.59 $335.11 $328.48 $164.24
Employee + Spouse $1,484.95 $749.90 $735.05 $367.53
Employee + Child(ren) $1,359.11 $686.35 $672.76 $336.38
Employee + Family $1,896.25 $957.61 $938.64 $469.32
BCBSKC MEDICAL RATES EFFECTIVE DECEMBER 1, 2016
Preferred Care Blue: $1,500
Deductible Monthly Rate Company Pays You Pay Per Pay Period Deductions
Employee Only $569.69 $335.55 $234.14 $117.07
Employee + Spouse $1,274.60 $750.74 $523.86 $261.93
Employee + Child(ren) $1,166.92 $687.32 $479.60 $239.80
Employee + Family $1,627.68 $958.70 $668.98 $334.49
BCBSKC MEDICAL RATES EFFECTIVE DECEMBER 1, 2016
HSA Employer
Preferred Care Blue: $3,000 Per Pay Period Contribution per
Deductible-HSA Monthly Rate Company Pays You Pay Deductions Pay Period
Employee Only $469.52 $335.24 $134.28 $67.14 $16.00
Employee + Spouse $1,050.48 $750.04 $300.44 $150.22 $39.00
Employee + Child(ren) $961.58 $686.57 $275.01 $137.51 $36.00
Employee + Family $1,341.58 $957.89 $383.69 $191.85 $41.00
THE STANDARD DENTAL RATES EFFECTIVE JANUARY 1, 2017
Monthly Rate Company Pays You Pay Per Pay Period Deductions
Employee Only $26.72 $14.70 $12.02 $6.01
Employee + Spouse $60.04 $33.02 $27.02 $13.51
Employee + Child(ren) $63.04 $34.67 $28.37 $14.18
Employee + Family $98.32 $54.08 $44.24 $22.12
THE STANDARD VISION RATES EFFECTIVE JANUARY 1, 2017
Monthly Rate Company Pays You Pay Per Pay Period Deductions
Employee Only $6.81 $4.77 $2.04 $1.02
Employee + Spouse $13.61 $9.53 $4.08 $2.04
Employee + Child(ren) $12.93 $9.05 $3.88 $1.94
Employee + Family $20.33 $14.23 $6.10 $3.05

CONTACT INFORMATION
Gail Meis

Contact for all benefit 913-312-5978 gmeis@TrussAdvantage.com
information Amy Ferguson
913-312-5959 aferguson@TrussAdvantage.com
Blue Cross Blue Shield of Medical Insurance 888-989-8842 or 816-395-2950
Kansas City
www.bluekc.com
Dental, Vision, Life, Vol 888-947-4738
Standard
Life, & Disability www.standard.com

TASC Flexible Spending 800-422-4661
Account
www.tasconline.com

Centralized Supply Chain Services | 2016-2017 Benefits Overview

This is a brief description of your benefits. If a discrepancy exists, benefits outlined in the carrier certificate will prevail.