Page 16 - Ifly Benefit Guide 2018 FINAL

Team Member Contributions

This chart compares the per paycheck (26 pay periods) contributions for our Team Member Benefit plans. Your cost for coverage
will vary depending on the option and level of coverage you choose.

Medical Buy-Up Plan - PPO 1,000 Medical Base Plan -
PPO / HSA 3,000 90/50
Medical Insurance
Your Cost Your Cost

Team Member Only $23.25 $5.93
Team Member + Spouse $218.65 $167.45
Team Member + Child(ren) $218.55 $167.37
Team Member + Family $359.70 $275.48

Dental & Vision Dental - Value or NAP Vision Voluntary Full Feature
Insurance Your Cost Your Cost

Team Member Only $3.04 $5.25
Team Member + Spouse $18.51 $8.84
Team Member + Child(ren) $26.33 $9.02
Team Member + Family $38.38 $14.27

Accident - Team Member
Voluntary Worksite Benefits
Your Cost

Team Member Only $7.98
Team Member + Spouse $13.50
Team Member + Child(ren) $13.58
Team Member + Family $19.10

Critical Illness - Team Member Critical Illness - Spouse
Voluntary Worksite Benefits Your Cost Your Cost Your Cost Your Cost
$10,000 $20,000 $5,000 $10,000
Age
<30 $4.58 $8.41 $2.66 $4.58
30-39 $5.80 $10.83 $3.28 $5.80
40-49 $9.64 $18.46 $5.23 $9.64
50-59 $16.45 $31.96 $8.70 $16.45
60-69 $24.57 $48.07 $12.83 $24.57
70+ $46.53 $91.76 $23.91 $46.53
Children Included Included

The following benefits are provided to you at no charge and are paid by iFLY:
• Basic Life and AD&D
• Short Term Disability
• Team Member Assistance Program

The following benefits are available to you at discounted group rates. Should you elect these benefits, you will
pay 100% of the cost:
• Voluntary Vision (see rates above)
• Voluntary Life and AD&D (for your convenience, rates have been pre-calculated for you on UltiPro)
• Voluntary Long Term Disability (for your convenience, rates have been pre-calculated for you on UltiPro)
• Voluntary Worksite Benefits (see rates above)

16