Page 15 - Rampart EE Guide 01-19 (flipbook)

EMPLOYEE CONTRIBUTIONS

This chart compares the weekly and biweekly 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.

Medical Cigna
OAP with HRA
Weekly Biweekly
Employee Only $20.00 $40.00
Employee + Spouse $40.00 $80.00
Employee + Child(ren) $31.00 $62.00
Employee + Family $55.00 $110.00
Dental Cigna
Dental PPO
Weekly Biweekly
Employee Only $7.92 $15.84
Employee + Spouse $15.63 $31.27
Employee + Child(ren) $19.37 $38.74
Employee + Family $29.79 $59.58
Vision Cigna
Vision
Weekly Biweekly
Employee Only $1.53 $3.06
Employee + Spouse $3.06 $6.12
Employee + Child(ren) $3.09 $6.18
Employee + Family $4.93 $9.86

The following benefits are provided to you at no charge and are paid by Rampart Supply:
• Basic Life/AD&D
• Short Term Disability
• Long Term Disability
• Long Term Care

The following benefits are available to you at discounted group rates—see HR for your specific rates.
Should you elect these benefits, you will pay 100% of the cost:
• Supplemental Benefits
• Dental
• Vision
• Legal
• ID Theft Plans

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