Page 13 - Westmark Benefit Guide 2019-2020

Rates and Contributions

This chart illustrates 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.

Per Paycheck
Employee Rate
Medical HMO - Anthem NOTE:
Employee Only $0.00 Employee
contributions for
Employee + 1 Dependent $346.83 Medical, Dental and
Employee + Family $630.28 Vision are deducted
from your paycheck
Medical PPO - Anthem with pre-tax dollars.
This means that
Employee Only $446.38
contributions are
Employee + 1 Dependent $1,283.40 taken from your
earnings before
Employee + Family $1,390.48
taxes – resulting in
Dental DHMO - Anthem lower taxes and
increased take home
Employee Only $0.00 pay.

Employee + 1 Dependent $4.89
Employee + Family $11.13
Dental PPO - Anthem

Employee Only $0.00
Employee + 1 Dependent $18.10

Employee + Family $37.60
Vision - Anthem
Employee Only $0.00

Employee + Spouse $2.74
Employee + Child(ren) $3.13
Employee + Family $6.65
Basic Life and AD&D

Employee Only No Charge
Voluntary Life and AD&D

Employee Only 100% employee paid
Spouse Only 100% employee paid
Child(ren) Only 100% employee paid

Short Term Disability / Long Term Disability
Employee Only 100% employer paid
Pet Insurance

Varies by number of pets and program you choose www.unitedpetcare.com/westmark

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