Page 11 - Benefits Guide_Stage 1

Employee Contributions

This chart compares the bi-weekly 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 may be 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.

Employee Rate Per Paycheck

Medical - UnitedHealthcare PPO Options
Employee Only See Your Ease Profile
Employee + Dependents See Your Ease Profile
Dental PPO - UnitedHealthcare
Employee Only $7.81
Employee + Spouse $15.61
Employee + Child(ren) $17.53
Employee + Family $26.63

Vision - UnitedHealthcare
Employee Only $3.49
Employee + Spouse $6.63
Employee + Child(ren) $7.74
Employee + Family $10.92
Basic Life and AD&D - UnitedHealthCare

Employee Only No Charge

The following benefits are available to you at discounted group rates. Should you elect these benefits, you will pay 100% of the
cost. You can find these costs on Ease:

• Voluntary Life and AD&D - UnitedHealthcare
• Voluntary Long Term Disability - UnitedHealthcare

11