Page 15 - 2020 Oremor OOS_EE Benefits Guide
P. 15

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.
         Medical Options

                                                     Anthem Blue Cross                   Anthem Blue Cross
                                                        Network PPO                        Traditional PPO
         Employee Only                                     $118.00                             $600.00
         Employee + Spouse                                 $558.00                            $1,300.00
         Employee + Child(ren)                             $451.00                            $1,500.00
         Employee + Family                                 $869.00                            $2,200.00
         Dental Option

                                                                    Principal Financial Group
                                                                              DPOS
         Employee Only                                                       $30.00
         Employee + Spouse                                                   $65.00
         Employee + Child(ren)                                               $68.00
         Employee + Family                                                   $104.00
         Vision Option
                                                                            EyeMed
         Employee Only                                                        $7.50
         Employee + Spouse                                                   $14.25
         Employee + Child(ren)                                               $15.00
         Employee + Family                                                   $ 22.04



         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
         •   Voluntary Long Term Disability


































                                                                                                                  15
   10   11   12   13   14   15   16