Page 5 - Paragon Services Engineering 2019 Employee Benefits

Your cost per paycheck

24 Payroll Deductions/Year

Medical Options

Option1 Option 2 Option 3 Option 4
UnitedHealthcare UnitedHealthcare Kaiser Permanente UnitedHealthcare
Medical Harmony HMO Advantage HMO Deductible HMO HSA PPO
Employee Only $0.00 $34.84 $0.00 $0.00
Employee + Spouse $378.48 $462.09 $378.48 $358.07
Employee + Child(ren) $202.75 $263.71 $202.75 $191.82
Employee + Family $554.21 $660.46 $554.21 $524.33
Dental Options
United
Concordia
Dental PPO
Employee Only $0.00
Employee + Spouse $16.65
Employee + Child(ren) $17.00
Employee + Family $38.30
Vision Option
Anthem Blue
Vision Cross PPO
Employee Only $5.51
Employee + Spouse $9.37
Employee + Child(ren) $9.92
Employee + Family $14.88

For your convenience, your age-banded Voluntary Life/AD&D and Short
Term Disability premiums have been pre-calculated for you in Paylocity.

IRS Code Section 125
The Paragon Services Engineering employee benefit plans are designed under Section 125 of the IRS Code. This
allows you to take advantage of federal laws by purchasing some of your benefits with pre-tax dollars. Under
Section 125, your Medical, Dental, Vision, and Flexible Spending Account contributions are deducted before taxes
are withheld which saves you tax dollars. Paying for benefits before-tax means that your share of the costs are
deducted before taxes are determined, resulting in more take-home pay for you. As a result, the IRS requires that
your elections remain in effect for the entire year. You cannot drop or change coverage unless you experience a
qualifying event. You may waive participation in the Section 125 Plan and elect to pay all contributions with after-
tax dollars. Contact the Human Resources Department if you wish to pay for your benefits with after-tax dollars.