Page 6 - Work Life and Benefits Booklet 2020 SS

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BENEFIT YOUR COST PER SHIPSTATION’S BENEFIT YOUR COST SHIPSTATION’S
COVERAGE PAYCHECK COST PER COVERAGE PER PAYCHECK COST PER
24 PAYROLL PAYCHECK 24 PAYROLL PAYCHECK
DEDUCTIONS/YEAR DEDUCTIONS/YEAR
BCBSTX Medical HSA Delta Dental PPO

Employee Only $10.00 $166.27 Employee Only $0.00 $17.56
Employee + Spouse $120.83 $331.82 Employee + 1 $20.11 $16.79

Employee + Child(ren) $127.20 $246.67 Employee + 2 or more $47.84 $23.75
Employee + Family $248.02 $402.23 EyeMed Vision
BCBSTX Medical PPO Employee Only $0.00 $3.04

Employee Only $23.17 $169.56 Employee + 1 $4.50 $1.28
Employee + Spouse $154.64 $340.27 Employee + 2 or more $7.80 $0.68

Employee + Child(ren) $155.12 $253.65
Employee + Family $296.59 $414.35

BCBSTX Medical PPO High
Employee Only $70.78 $162.62
Employee + Spouse $276.89 $322.43

Employee + Child(ren) $256.09 $238.92
Employee + Family $472.19 $388.74

IRS CODE Section 125
The ShipStation employee benefit plans are designed under Section 125 of the IRS Code. This allows you to take advantage of federal laws by purchasing some of
your benefits with pre-tax dollars. Under Section 125, your Medical, Dental, Vision, Flexible Spending and Health Savings account contributions are deducted before
taxes are withheld which saves you tax dollars. Paying for benefits before-tax means that your share of the costs is deducted before taxes are determined, resulting
in more take-home pay for you. Due to this tax advantage, the IRS requires that your elections remain in effect for the entire year. You cannot drop or change
coverage unless you experience a qualifying event. If you wish to waive participation in the Section 125 Plan and elect to pay with after-tax dollars, contact the
Human Resources Department.

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