Page 15 - Alexander EE Guide 01-19 v3

EMPLOYEE CONTRIBUTIONS

This chart compares the monthly contributions for our Employee Benefit plans. Monthly costs will be deducted over the first 2 pay
periods of each month. Your cost for coverage will vary depending on the option and level of coverage you choose. For your
convenience, your age-banded Voluntary Life/AD&D, Voluntary Short Term Disability, and Buy-Up Long Term Disability rates have
been pre-calculated for you in ADP.

Medical Options

Medical EPO Medical POS
Employee Only $40.00 $182.00
Employee + Spouse $806.00 $1,119.00
Employee + Child(ren) $488.00 $783.00
Employee + Family $1,204.00 $1,621.00

Dental Option
Dental PPO
Employee Only $0.00
Employee + Spouse $55.00
Employee + Child(ren) $55.00
Employee + Family $ 75.00
Vision Option

Vision
Employee Only $0.00
Employee + Spouse $10.00
Employee + Child(ren) $10.00
Employee + Family $15.00

The following benefits are provided to you at no charge and are paid by Alexander’s Mobility Services:
• Basic Life and AD&D
• Base Long Term Disability
• Employee Assistance Program
• Health Advocate
• 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:
• Voluntary Life and AD&D
• Voluntary Short Term Disability
• Buy-Up Long Term Disability

15