Page 15 - Avance Schools Benefit Guide 2019

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. 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.

Medical Anthem Blue Cross Anthem Blue Cross Anthem Blue Cross
Base HMO Buy-Up HMO PPO

Employee Only $0.00 $139.81 $352.75
Employee + Spouse $402.92 $710.50 $1,179.00
Employee + Child(ren) $268.62 $520.28 $903.58
Employee + Family $705.13 $1,138.53 $1,798.69

Dental Anthem Blue Cross Anthem Blue Cross
DHMO PPO
Employee Only $0.00 $24.66
Employee + Spouse $12.70 $63.59
Employee + Child(ren) $12.70 $77.33
Employee + Family $28.57 $119.74

Vision Anthem Blue Cross
PPO
Employee Only $4.12
Employee + Spouse $12.36
Employee + Child(ren) $12.77
Employee + Family $21.01
Supplemental Benefits MetLife MetLife MetLife
Accident Hospital Low Hospital High

Employee Only $19.10 $25.98 $42.74
Employee + Spouse $29.45 $51.06 $83.76
Employee + Child(ren) $33.43 $40.61 $66.77
Employee + Family $41.39 $63.80 $104.73
The following benefits are provided to you at no charge for you as an employee only and are paid by Avance
Schools:
• Medical Base HMO
• Dental HMO
• Basic Life and AD&D, which includes Will Preparation and Travel Assistance Program
• Employee Assistance Program (Resource Advisor)
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
• Supplemental Benefits (Accident, Critical Illness, Hospital Indemnity, and MetLaw)

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