Page 17 - Trident EE Guide 01-18 OPTION 1

EMPLOYEE CONTRIBUTIONS - CONT.

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
Dental DMO - Aetna
CA & OOS (includes all states except AL, ME, SC, TX and IA)

Employee Only $14.86 $3.36 $1.68
Employee + Spouse $29.72 $6.73 $3.36
Employee + Child(ren) $29.72 $6.73 $3.36
Employee + Family $48.29 $10.93 $5.46
Dental PPO - Aetna
CA & OOS (includes all states except AL, ME, SC, TX and IA)
Employee Only $42.62 $11.72 $5.86
Employee + Spouse $87.05 $23.94 $11.97
Employee + Child(ren) $99.89 $27.47 $13.74
Employee + Family $146.61 $37.32 $18.66

Dental PPO - Aetna
OOS PPO - no DMO available (includes AL, ME, SC, TX and IA)
Employee Only $42.62 $10.15 $5.08
Employee + Spouse $87.05 $20.73 $10.37
Employee + Child(ren) $99.89 $23.79 $11.90
Employee + Family $146.61 $34.91 $17.46
Vision - Aetna
CA & OOS (includes all states)
Employee Only $6.31 $2.08 $1.04
Employee + 1 Dependent $12.75 $3.32 $1.66
Employee + Family $21.32 $5.40 $2.70
Basic Life and AD&D - Aetna
All Full-time Benefit Eligible Employees
Employee Only 100% employer paid $0.00 $0.00
Short Term Disability / Long Term Disability - Aetna
All Full-time Benefit Eligible Employees
Employee Only 100% employer paid $0.00 $0.00
Supplemental Life and AD&D - Aetna
All Full-time Benefit Eligible Employees
Employee Only $0.00 100% employee paid 100% employee paid
Spouse Only $0.00 100% employee paid 100% employee paid
Child(ren) Only $0.00 100% employee paid 100% employee paid
Employee Assistance Program - Aetna
All Full-time Benefit Eligible Employees
Employee + Family 100% employer paid $0.00 $0.00

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