Page 15 - Research Affiliates EE Guide 1-19

Employee Contributions

This chart compares the monthly employee and employer contributions for our Employee Benefit plans. Your cost for coverage will
vary depending on the option and level of coverage you choose. Benefits are not additive. The maximum you will pay for Medical,
Dental, and Vision coverages is listed under the medical plan. If you do not elect Medical coverage, but elect Dental and/or Vision,
you will pay $15 or $12 (or $27 if electing both) for any dependent coverage. For additional information regarding rates and
contributions, please contact Jennifer Macha at (949) 325-8764.

Your Monthly Cost Research Affiliates’ Monthly Cost

Medical Cigna PPO

Employee Only $40.00 $677.17
Employee + Spouse $210.00 $1,358.34
Employee + Child(ren) $150.00 $1,149.04
Employee + Family $295.00 $1,920.05

Cigna HSA
Employee Only $40.00 $498.57
Employee + Spouse $210.00 $965.35
Employee + Child(ren) $150.00 $828.11
Employee + Family $295.00 $1,365.98
Dental Guardian Value

Employee Only $0.00 $60.00
Employee + Spouse $15.00 $106.11
Employee + Child(ren) $15.00 $114.71
Employee + Family $15.00 $182.22
Guardian PPO
Employee Only $0.00 $60.00
Employee + Spouse $15.00 $106.11
Employee + Child(ren) $15.00 $114.71
Employee + Family $15.00 $182.22
Vision MES Vision
Employee Only $0.00 $8.32
Employee + Spouse $12.00 $2.98
Employee + Child(ren) $12.00 $3.82
Employee + Family $ 12.00 $ 9.64

The following benefits are provided to you at no charge and are paid by Research Affiliates:
• Basic Life and AD&D
• Short Term Disability
• Long Term Disability
• Employee Assistance Program

The following benefit is available to you at discounted group rates. Should you elect these benefits, you will
pay 50% of the employee cost (up to $150,000) and 100% of the dependent cost:
• Voluntary Life

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