Page 5 - Arrowhead Credit Union Benefit Guide 2018 with larger font V4
P. 5
Team Member Contributions
Medical Blue Shield of California Blue Shield of California Blue Shield of California
HMO HMO PPO
LOW PLAN - $25-25% HIGH PLAN - $20-$500
Employee Only $16.60 $32.38 $99.19
Employee + 1 Dependent $127.16 $161.89 $308.89
Employee + Family $187.06 $232.03 $422.47
Dental DHMO PPO
Employee Only $1.17 $16.10
Employee + 1 Dependent $4.44 $40.74
Employee + Family $8.09 $66.69
Vision EyeMed
Employee Only $0.61
Employee + 1 Dependent $2.43
Employee + Family $4.23
Life / Disability Mutual of Omaha
Basic Life Insurance Paid entirely by Arrowhead
Basic AD&D Insurance Paid entirely by Arrowhead
Short Term Disability Paid entirely by you
Long Term Disability Paid entirely by Arrowhead
Voluntary Life / AD&D Paid entirely by you
Voluntary Products AFLAC
Accident Indemnity Advantage Paid entirely by you
Cancer Care Plan Paid entirely by you
Specified Health Event Protection Paid entirely by you
Hospital Advantage Paid entirely by you
Additional Benefits
Employee Assistance Program Paid entirely by Arrowhead
Health Advocate Paid entirely by Arrowhead
Section 125 Cafeteria Plan
Medical, dental and vision premium contribution amounts are governed by Section 125 of the Internal
Revenue Code. Arrowhead Credit Union Section 125 Cafeteria Plan allows health-related premium
contributions to be taken out of your paycheck on a pre-tax basis.
5
