Page 15 - MyPoint EE Guide

EMPLOYEE CONTRIBUTIONS

This chart compares the per paycheck 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 ADP.

Medical

Cigna Cigna
Plan Select HMO Full Network HMO

Employee Only $71.00 $97.00
Employee + 1 Dependent $166.00 $194.00
Employee + 2 or More Dependents $235.00 $275.00
Dental

United Concordia United Concordia
Plan DHMO PPO with Wellness
Employee Only $3.00 $7.00
Employee + 1 Dependent $5.00 $19.00
Employee + 2 or More Dependents $12.00 $40.00
Vision

EyeMed
Plan PPO
Employee Only $2.00
Employee + 1 Dependent $3.00
Employee + 2 or More Dependents $5.00

The following benefits are provided to you at no charge and are paid by MyPoint:
• Employee Assistance Program
• Basic Life/AD&D
• Long Term Disability
• 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/AD&D
• Pet Insurance
• Voluntary Worksite Benefits

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