Page 16 - Trident EE Guide 01-18 OPTION 1
P. 16

EMPLOYEE CONTRIBUTIONS





                      This chart compares the monthly and per paycheck contributions for our Employee Benefit plans. Your cost for
                      coverage will vary depending on the option and level of coverage you choose. Employee contributions for Medical,
                      Dental, and Vision are deducted from your paycheck with pre-tax dollars. This means that contributions are taken
                      from your earnings before taxes, resulting in lower taxes and increased take home pay.
                                                Total Monthly         Employee Monthly    Employee Bi-Weekly Paycheck
                                          Premium including Trident’s
                                                                        Contribution             Contribution
                                                Contribution
         Medical CA Value HMO (AVN Network) - Aetna
         CA only

             Employee Only                        $420.07                  $92.41                   $46.21
             Employee + Spouse                    $924.16                 $203.31                  $101.65
             Employee + Child(ren)                $756.13                 $166.34                   $83.17
             Employee + Family                   $1,299.10                $286.48                  $143.24
         Medical CA HMO (Full Network) - Aetna
         CA only
             Employee Only                        $472.10                 $112.20                   $56.10
             Employee + Spouse                   $1,038.61                $246.85                  $123.42
             Employee + Child(ren)                $849.78                 $201.97                  $100.98
             Employee + Family                   $1,459.99                $347.83                  $173.91
         Medical AZ HMO - Aetna
         AZ only
             Employee Only                        $421.20                 $112.20                   $56.10
             Employee + Spouse                    $926.64                 $246.85                  $123.42
             Employee + Child(ren)                $758.16                 $201.97                  $100.98
             Employee + Family                   $1,305.72                $347.83                  $173.91
         Medical OAMC/PPO - Aetna
         CA & AZ only

             Employee Only                        $658.54                 $228.51                  $114.26
             Employee + Spouse                   $1,448.79                $502.73                  $251.37
             Employee + Child(ren)               $1,185.39                $411.33                  $205.66
             Employee + Family                   $2,036.60                $706.70                  $353.35

         Medical OAMC/PPO - Aetna
         All Other States; Excludes CA & AZ

             Employee Only                        $658.54                 $175.27                   $87.63
             Employee + Spouse                   $1,448.79                $385.59                  $192.79
             Employee + Child(ren)               $1,185.39                $315.48                  $157.74
             Employee + Family                   $2,036.60                $543.33                  $271.66
         The following benefits are provided to you at no charge and are paid by Trident University:
         •   Employee Assistance Program
         •   Basic Life/AD&D
         •   Short Term Disability
         •   Long Term Disability

         The following benefits are available to you at discounted group rates. Should you elect these benefits, you will
         pay 100% of the cost:
         •   Voluntary Life



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