Page 6 - Burnham BG 2018-19 v4
P. 6

ENROLLMENT INFORMATION




                 Paying for Your Coverage


                  Health Benefits

                  Benefit                                         Paid By
                  Medical Plans                                   Burnham and Employee
                  Dental Plan                                     Burnham and Employee
                  Vision Plan                                     Burnham and Employee
                  Employee Assistance Program (EAP)               Burnham
                  Wellness                                        Burnham
                  Lean for Life By Lindora                        Employee


                  Income Protection Benefits

                  Benefit                                         Paid By
                  Basic Life and AD&D Insurance                   Burnham
                  Voluntary Life and AD&D Insurance               Employee
                  Voluntary Short Term Disability Insurance       Employee
                  Long Term Disability Insurance                  Burnham


                  Tax Savings Benefits

                  Benefit                                         Paid By
                  Health Care Spending Account                    Employee
                  Dependent Care Spending Account                 Employee
                  Commuter Benefit Program                        Employee
                  Health Savings Account                          Burnham and Employee

                  Other Benefits


                  Benefit                                         Paid By
                  401(k) Retirement Savings Plan                  Burnham and Employee
                  Travel Assistance Program                       Burnham
                  Paid Holidays                                   Burnham
                  Paid Time Off                                   Burnham
                  Time off to Volunteer                           Burnham
                  Charitable Giving Match                         Burnham


                 Your Medical, Dental and Vision contributions are deducted before taxes are withheld which saves you tax
                 dollars and results in more take-home pay for you. Because of this, the IRS requires that your elections
                 remain in effect for the entire plan year. You cannot drop or change coverage unless you experience a
                 status change.



                                                              6
   1   2   3   4   5   6   7   8   9   10   11