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CONTRIBUTIONS

The Basic Life, AD&D, Long EMPLOYEE COST
Term Disability, and Employee PER PAYCHECK
Assistance Program benefits
are provided at no cost to you MEDICAL OPTIONS
and are paid entirely by Electric. Option 1: Trio ACO Network HMO See EaseCentral for
You and the company share in Option 2: Access+ Full Network HMO Employee and Dependent
the cost of the Medical, Dental, Option 3: Silver Full HSA Age-Specific Rates
and Vision benefits you elect. Option 4: Platinum Full PPO
Any Voluntary Life, Voluntary
AD&D, Accident, and Critical DENTAL OPTIONS
Illness benefits you elect will Option 1: DHMO
be paid by you at discounted Employee Only $1.22
group rates. Your Medical, Employee + Spouse $7.36
Dental, and Vision contributions Employee + Child(ren) $7.36
are deducted before taxes are Employee + Family $15.26
withheld (with the exception of
contributions toward domestic Option 2: PPO
partner coverage due to IRS Employee Only $10.80
regulation), which saves you Employee + Spouse $33.30
tax dollars. Paying for benefits Employee + Child(ren) $37.30
before-tax means that your Employee + Family $60.48
share of the cost is deducted
before taxes are determined, VISION
resulting in more take-home Employee Only $0.00
pay for you. As a result, the IRS Employee + Spouse $3.30
requires that your elections Employee + Child(ren) $2.79
remain in effect for the entire Employee + Family $6.25
year. You cannot drop or change
coverage unless you experience BASIC LIFE AND AD&D / LONG TERM DISABILITY / EMPLOYEE ASSISTANCE
a status change. PROGRAM
No Charge

This chart compares the per VOLUNTARY LIFE AND AD&D / ACCIDENT / CRITICAL ILLNESS
paycheck contributions for our 100% of Cost. For your
employee benefit plans. Your convenience, your voluntary
cost for coverage will vary premiums have been
depending on the option and pre-calculated for you in
level of coverage you choose. Ease Central.

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