Page 15 - Tongle Benefits Guide 2018 - CA Final

EMPLOYEE CONTRIBUTIONS

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. Tongal pays the full premium for the Employee Only Anthem Gold HMO and Gold PPO plans, as well
as the dental DHMO and Vision PPO plans.

Medical Anthem
Medical Plans
Age Specific Please see EaseCentral for age specific rates for all three plan options

Dental HMO Anthem
DHMO
Employee Only $0.00
Employee + Spouse $6.65
Employee + Child $6.65
Employee + Children / Family $15.20
Dental PPO Anthem
DPPO
Employee Only $17.89
Employee + Spouse $47.46
Employee + Child(ren) $53.96
Employee + Family $84.91
Vision PPO Anthem
Vision PPO
Employee Only $0.00
Employee + Spouse $2.27
Employee + Child(ren) $2.01
Employee + Family $ 5.07

The following benefits are provided to you at no charge and are paid by Tongal:
• Anthem Basic Life and AD&D
• Anthem Employee Assistance Plan
• Travel Assistance Program

The following benefits are available to you at discounted group rates. Should you elect these benefits, you will
pay 100% of the cost:
• Humana Accident Insurance
• Humana Critical Illness Insurance

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