Page 3 - MIL Benefits Overview

TRICARE Supplemental Insurance Plan Employee Assistance Program
If you have TRICARE health insurance, you could be saving Confidential employee assistance program via Uprise to
more on out-of-pocket co-pays, prescription costs, and cost help balance work and personal life. Uprise offers help with
shares through this supplemental plan. MIL offers a special education, dependent care & caregiving, legal & financial,
type of insurance product that helps cover these costs lifestyle & fitness management, as well as career matters.
through SelmanCo. Guaranteed Issue. No medical forms to Support is offered via telephonic consultation and via
complete. No pre-existing condition limitation. the web.

Medical Coverage
Bi-Weekly Deductions HDHP Option Standard Option EPO Option High Option

Employee Only $41.62 $180.05 $129.73 $247.43

Employee & Spouse $180.23 $476.34 $379.40 $694.76
Employee & Child(ren) $156.59 $403.50 $327.66 $611.49

Employee & Family $261.63 $584.91 $494.28 $995.74

Rates reflect bi-weekly payroll deduction.

Dental &Vision

Bi-Weekly Deductions Dental High Option Dental Low Option Vision

Employee Only $12.40 $4.90 $3.90

Employee & Spouse $31.65 $15.80 $6.56

Employee & Child(ren) $33.86 $17.06 $6.69
Employee & Family $53.07 $27.95 $10.58

Rates reflect bi-weekly payroll deductions.

We’ve got you covered

MIL paid benefits & wellness incentives:

» Group Life Insurance and AD&D: Eligible employees are insured for $50,000 of
life and $50,000 of AD&D.

» Group Long-Term Disability: : Long-term disability benefits begin, if approved,
after you have been continuously disabled for 180 days. The benefit is 60% of your
salary up to a maximum of $10,000 per month.