Page 11 - BNDS EE Guide 19

EMPLOYEE CONTRIBUTIONS

This chart compares the monthly 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 EaseCentral.

Medical CalChoice

Plan Name Anthem Platinum HMO
Anthem Gold HMO
Kaiser Platinum HMO
Sharp Premier Platinum HMO A (base plan)
Sharp Performance Platinum HMO B

Visit Ease for your personalized rates
Dental & Vision Guardian Guardian Guardian

Plan Name DHMO Dental PPO Dental Vision
Employee Only $11.61 $37.37 $9.11
Employee + Spouse $23.22 $75.85 $15.34
Employee + Child(ren) $26.43 $106.76 $15.64
Employee + Family $40.20 $155.94 $24.75

Voluntary Life/AD&D:
Benefits are available to you at discounted group rates. Should you elect these benefits, you will pay 100% of the cost.

Educational Video
Benefits terminology can get confusing. Click here to watch a quick video to learn the basics of how our
medical plans work.

Deductibles, Copays, Coinsurance, and Out-of-Pocket Maximums
http://video.burnhambenefits.com/terms/

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