Page 11 - MIG Management - Benefit Guide 2018 Final 12.8.17

Employee Contributions

This chart compares the per paycheck contributions for our employee benefit plans. Your cost for coverage will vary depending on
the option and level of coverage you choose. For your convenience, your age specific medical, age-banded Voluntary Life and
AD&D and Voluntary Short Term Disability premiums have been pre-calculated for you in EaseCentral.

Per Paycheck (24)
Employee Rate
Medical HMO - Anthem Blue Cross
Employee Only
Employee + Spouse See Ease Central for Employee and Dependent
Employee + Child(ren) Age-Specific Rates
Employee + Family
Medical PPO - Anthem Blue Cross
Employee Only
Employee + Spouse See Ease Central for Employee and Dependent
Employee + Child(ren) Age-Specific Rates
Employee + Family
Dental PPO - Anthem Blue Cross
Employee Only $2.21
Employee + Spouse $8.91
Employee + Child(ren) $12.43
Employee + Family $19.13
Vision - Anthem Blue Cross
Employee Only $0.33
Employee + Spouse $1.03
Employee + Child(ren) $0.99
Employee + Family $1.94
Basic Life and AD&D / Long Term Disability - Mutual of Omaha

Employee Only Paid by MIG Management
Voluntary Life and AD&D - Mutual of Omaha
Employee Only
See Ease Central for Employee and Dependent
Spouse Only Age-Specific Rates
Child(ren) Only
Voluntary Short Term Disability - Mutual of Omaha

Employee Only See Ease Central for Employee Rates
Employee Assistance Program - Mutual of Omaha
Employee + Family Paid by MIG Management

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