Page 7 - Tender Greens EE Guide 01-20
P. 7
Team Member Portion
Plan (Per Pay Period)
Medical Options
Narrow Network HMO
Team Member Only $75
Team Member + Spouse $208
Team Member + Child(ren) $145
Team Member + Family $287
Full Network HMO
Team Member Only $90
Team Member + Spouse $250
Team Member + Child(ren) $175
Team Member + Family $345
PPO HDHP
Team Member Only $57
Team Member + Spouse $157
Team Member + Child(ren) $127
Team Member + Family $226
PPO
Team Member Only $130
Team Member + Spouse $336
Team Member + Child(ren) $245
Team Member + Family $467
Dental Option
Team Member Only $6
Team Member + Spouse $16
Team Member + Child(ren) $19
Team Member + Family $27
Vision Option
Team Member Only $1
Team Member + Spouse $3
Team Member + Child(ren) $3
Team Member + Family $5
The following benefits are provided to you at no charge and The following benefits are available to you at discounted group
are paid by Tender Greens: rates. Should you elect these benefits, you will pay 100% of the
• Basic Life/AD&D cost:
• Employee Assistance Program • Voluntary Life/AD&D
• Travel Assistance • Voluntary Short Term Disability
• Will Preparation Assistance • Voluntary Long Term Disability
For your convenience, your age-banded Voluntary Life/AD&D, Short
Term Disability and Long Term Disability premiums have been
pre-calculated for you in UltiPro.
Team Member Benefits
Team Member Benefits 7 7
