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Employee Contributions
This chart compares the per paycheck and monthly contributions for our employee benefit plans. 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, Cancer
Guardian, and Critical Illness premiums have been pre-calculated for you in ADP.
For the below plans, bi-weekly employees will not have deductions on the 3rd paycheck for months that have 3 pay dates,
therefore calculations are based on 24 pay dates per year.
Employee Rate Employee Rate Employer Rate
Per Paycheck Cost (24) Monthly Cost Monthly Cost
Dental MetLife DMO—Select states only (CA, FL, NJ, NY, and TX)
Employee $1.98 $3.97 $9.26
Employee + Spouse $3.56 $7.11 $16.59
Employee + Child(ren) $5.07 $10.14 $23.65
Employee + Family $5.93 $11.85 $27.66
Dental MetLife PPO—All States
Employee $6.69 $13.39 $31.23
Employee + Spouse $13.32 $26.63 $62.15
Employee + Child(ren) $16.19 $32.39 $75.57
Employee + Family $22.82 $45.64 $106.48
Vision MetLife —All States
Employee $4.31 $8.61 $0.00
Employee + Spouse $8.61 $17.22 $0.00
Employee + Child(ren) $9.47 $18.94 $0.00
Employee + Family $13.78 $27.55 $0.00
Voluntary Benefits—Accident MetLife
Employee $6.25 $12.49 $0.00
Employee + Spouse $12.19 $24.37 $0.00
Employee + Child(ren) $13.48 $26.95 $0.00
Employee + Family $16.60 $33.20 $0.00
Voluntary Benefits—Hospital MetLife
Employee $6.01 $12.02 $0.00
Employee + Spouse $13.19 $26.38 $0.00
Employee + Child(ren) $10.24 $20.48 $0.00
Employee + Family $17.42 $34.84 $0.00
Voluntary Benefits
For Voluntary Life/AD&D, LTD Buy-up, STD, Critical Illness, Accident, and Hospital Indemnity plans please refer to your benefits in
the ADP employee self-service.
The Burnham Advocate Help-Line: (800) 391-6812
The Burnham Advocate toll-free customer service help-line can provide assistance with insurance related
issues when you are unable to resolve them directly with your insurance carriers. You will receive fast, skilled assis-
tance with Medical, Dental and Vision provider issues, referral assistance, and claims management.
For help, simply call the Burnham Advocate help-line at (800) 391-6812. For more complicated questions or claims
issues, the Burnham claims specialist works as your insurance advocate, researching and resolving
problems quickly and effectively. If further action is required, the Burnham Advocate will provide regular
updates until the issues are resolved.
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