Page 6 - Veritone EE Guide 07-19_FINAL.pub
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you to take   by  laws  Section 125,   and   Account  tax   benefits before-tax   for  more take-home pay   a  experience   waive   may   the Section 125 Plan   wish to   if you






                                     IRS CODE Section 125   The Veritone employee benefit plans  are designed under Section 125 of the   Code. This allows   IRS   federal  of  advantage purchasing some of your benefits with   pre-tax dollars. Under  your Medical, Dental, Vision,   Spending  Flexible contributions are deducted before taxes  withheld which saves you   are   dollars. Paying for  means that  your share  of the costs is  deducted before taxes are determined,   resulting i
















                                       Option 5   HSA PPO   $79.35   $174.79   $142.83   $246.00








                                       Option 4   PPO $1,500   $107.25   $235.94   $193.05   $332.47






                  CONTRIBUTIONS

                                       Option 3   PPO $500   $136.91   $301.20   $246.44   $424.41



                              our cost per month



                                       Option 2   Anthem HMO   $87.25   $191.93   $157.04   $270.45   Option 2   PPO Low   $7.36   $16.05   $15.47   $22.31   For your convenience, your age-banded Voluntary Life/AD&D premiums have








                                       Option 1   Kaiser HMO   $78.91   $182.28   $160.97   $239.09   Option 1   PPO High   $14.04   $28.47   $31.74   $45.01   PPO   $1.37   $2.74   $2.80   $4.17







                                                                                                               been pre-calculated for you in Paycom.

                                      Medical Options   Employee Only   Employee + Spouse   Employee + Child(ren)   Employee + Family   Dental Options   Employee Only   Employee + Spouse   Employee + Child(ren)   Employee + Family   Vision Option   Employee Only   Employee + Spouse   Employee + Child(ren)   Employee + Family   EMPLOYEE BENEFITS







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