Page 22 - Inglewood USD Benefits Guide 2019 - Actives Final

EMPLOYEE CONTRIBUTIONS

CERTIFICATED & MANAGEMENT

This chart compares the tenthly 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. For your convenience, your age-banded Voluntary Life/AD&D premiums have been pre-calculated for
you in PlanSource.

Medical Plans – 2019 Tenthly Premiums
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Kaiser HMO $10
1 EE Pays 2 IUSD Pays
Employee Only $182.72 $644.41
Employee + 1 $285.74 $1,349.33
Employee + Family $379.58 $1,926.06

Kaiser HMO $20

1 EE Pays 2 IUSD Pays
Employee Only $151.20 $644.41
Employee + 1 $222.70 $1,349.33
Employee + Family $290.38 $1,926.06

Anthem Blue Cross Vivity HMO 10/100%

1 EE Pays 2 IUSDPays
Employee Only $0.00 $644.41
Employee + 1 $0.00 $1,349.33
Employee + Family $0.00 $1,926.06

Anthem Blue Cross Select HMO 15/30/250
1 EE Pays 2 IUSD Pays

Employee Only $0.00 $631.68
Employee + 1 $0.00 $1,322.57
Employee + Family $0.00 $1,887.84

Anthem Blue Cross Vivity HMO 30/40/500
1 EE Pays 2 IUSD Pays

Employee Only $0.00 $574.86
Employee + 1 $0.00 $1,203.25
Employee + Family $0.00 $1,717.39

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