Page 17 - Casting Network Benefits Guide 2020

Contributions

MEDICAL PLANS COST PER PAYCHECK TIER COST PER PAYCHECK
Costs are based on your age and the age of each covered dependent. Casting VOLUNTARY ACCIDENT
Networks pays 90% of costs for employees and 40% of dependent costs for the base Employee Only $6.06
plan(s) and employees have the choice to buy-up to other plan options.
CA Base Plan: Kaiser or Blue Shield HMO / Non CA Base Plan: Blue Shield Gold PPO Employee + Spouse $10.48
Employee + Child(ren) $10.86
MEDICAL COST EXAMPLE BLUE SHIELD BLUE SHIELD BLUE SHIELD Employee + Family $15.27
(Rates based on each KAISER HMO HMO PPO GOLD PPO PLATINUM
covered member’s age) LIFELOCK IDENTITY THEFT ELITE
CA EMPLOYEE MEDICAL COSTS PER PAYCHECK (26 PAY PERIODS) Employee Only $3.92
Employee, 32 years old $18.06 $21.61 $47.91 $78.08 Employee + Family $7.84
Spouse, 34 years old $111.20 $133.06 $160.05 $191.01 LIFELOCK IDENTITY THEFT PLATINUM
Child, 7 years old $73.95 $83.85 $100.85 $120.36 Employee Only $11.76

Child, 5 years old $73.95 $83.85 $100.85 $120.36 Employee + Family $23.53
Total Costs per Paycheck $277.16 $322.37 $409.67 $509.81
The following benefits are provided at no charge to you!
NON-CA EMPLOYEE MEDICAL COSTS PER PAYCHECK (26 PAY PERIODS)
Group Life/AD&D, Long Term Disability, STD for NonSDI state
Employee, 32 years old $24.24 $54.41 employees, WorkLife Matters (EAP), College Tuition Plan
(included with dental) & Will Preparation (included with
Spouse, 34 years old $149.29 $180.21 Voluntary Life/AD&D).
Not available
Child, 7 years old $94.05 $113.56
outside of California The following benefits are available to you at discounted group
Child, 5 years old $94.05 $113.56 rates. Should you elect these benefits, you pay 100% of the costs:
Voluntary Life/AD&D, Short Term Disability (STD), Identity Theft,
Total Costs per Paycheck $361.60 $461.74
Accident & Critical Illness.

TIER COST PER PAYCHECK VOLUNTARY LIFE/AD&D, SHORT TERM DISABILITY & CRITICAL
ILLNESS
DENTAL & VISION DENTAL PPO VISION PPO
Costs are based on your age, the age of each covered
Employee Only $4.68 $0.99 dependent and the benefit you select. For your convenience,
your age-based premiums have been pre-calculated for you in
Employee + Spouse $19.02 $3.95
Ease.
Employee + Child(ren) $25.17 $4.09
Employee + Family $37.25 $8.41

17 Contributions