Page 4 - Example-Lucas Museum Recruiting Guide_082019

Dental Insurance Other Benefits

Cigna DHMO Dental Plan Employee Assistance Plan (EAP)
Offers up to 3 counseling sessions per person per
Benefits In-Network Only
problem per year. Services are available 24/7.
Office Visit $5
Calendar Year Maximum Unlimited Basic Life and AD&D Insurance
Annual Deductible $0 / $0 Offered at 1 x your base annual salary to a maximum
Preventive 100% (most services) benefit of $300,000.
Basic Services Varies
Major Services Varies Supplemental Life and AD&D Insurance
Orthodontia: Child $1,600 Offered up to $500,000 maximum benefit for
Orthodontia: Adult $2,600 Employee, up to $100,000 maximum for Spouse and
Orthodontia: Lifetime Max None $10,000 for child(ren).
Employee Contributions Per Paycheck Voluntary Short Term Disability Insurance
Employee Only $6.41 Plan pays in addition to California State Disability an
Employee + Spouse $11.24 additional 20% of earnings up to max benefit of
Employee + Child(ren) $16.25 $2,000 per week. Out of state Employees, plan pays
Employee + Family $22.76 60% of earnings up to a maximum benefit of $2,000
per week.
Cigna PPO Dental Plan
Voluntary Long Term Disability Insurance
Benefits In-Network Non-Network Plan pays 60% of your earnings up to a maximum
Office Visit $0 $0
benefit of $10,000 per month.
Calendar Year Maximum $1,750 $1,500
Annual Deductible $25/$50 $50/$100 Health Advocate
Preventive No charge 10% A personal health advocate who will assist you in
Basic Services Deductible, 10% Deductible, 30% dealing with benefit related issues.
Major Services Deductible, 40% Deductible, 50% Secure/Travel
Orthodontia: Child 50% Provides assistance for emergency medical, financial,
Orthodontia: Adult 50%
Orthodontia: Lifetime Max $1,000 legal or communication when you travel 100+ miles
away from home.
Employee Contributions Per Paycheck
Employee Only $16.39 Will Preparations Services
Employee + Spouse $32.53 Online tool to help you set up a will.
Employee + Child(ren) $41.29 CIGNAassurance
Employee + Family $63.54
Provides assistance with financial, bereavement, and
legal support in the event of a death in the family.

Vision Insurance Flexible Spending Accounts
Allows Employees to set up pre-tax dollars for certain
health and dependent care expenses.
Voluntary Benefits
Vision Service Plan (VSP) PPO
Plans for hospital indemnity, universal life with LTC,
Benefits In-Network Non-Network critical illness, and accident coverage.
Vision Exam (12 Months) $10 Up to $45 Max Pet Insurance
Materials (12 Months) $25 $25
Contacts Exam (12 Months) Up to $60 Varies Discount plan for your pets.
Lenses (12 Months) No charge after copay Varies Retirement Benefits
Frames (24 Months) $130 - $150, 20% Off Up to $70
Contacts* (12 Months) Comprehensive 401(k) plan for retirement planning
with employer match of 16% of the first 6% that you
Cosmetic/Elective $130 Up to $105
Medically Necessary No charge after copay Up to $210 contribute to the plan.
Laser Vision Correction Discounts Apply Not Covered
Employee Contributions Per Paycheck
Employee Only $3.53
Employee + Spouse $6.06
Employee + Child(ren) $6.18
Employee + Family $9.58
www.lucasmuseum.org
* In lieu of frames and lenses