Page 17 - AMT Gordian CA EE Guide 01-2020

EMPLOYEE CONTRIBUTIONS

Your Cost Per Paycheck

26 Payroll Deductions per Year

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. 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 ADP.

Medical

United United United Kaiser
Healthcare Healthcare Healthcare HMO Permanente
Plan PPO AKLY PPO HSA BS6W Y8V Trad HMO
Employee Only $0 $0 $0 $0
Employee + Spouse $349.79 $290.15 $276.48 $166.32
Employee + Child(ren) $194.73 $154.97 $145.26 $119.37
Employee + Family $698.66 $594.30 $568.82 $354.13

Dental

UHC UHC
Plan PPO DHMO (CA)
Employee Only $0 $0
Employee + Spouse $28.37 $8.39
Employee + Child(ren) $24.85 $6.03
Employee + Family $54.55 $14.67

Vision

UHC
Plan PPO
Employee Only $0
Employee + Spouse $3.01
Employee + Child(ren) $2.71
Employee + Family $5.97

The following benefits are provided to you at no charge and are paid by AMT:
• Employee Assistance Program
• Basic Life/AD&D

The following benefits are available to you at discounted group rates. Should you elect these benefits, you
will pay 100% of the cost:
• Short Term Disability
• Long Term Disability
• Supplemental Benefits (Group Accident, Hospital Confinement, Critical Illness)

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