Page 6 - Work Life and Benefits Booklet 2020 SDC EDC

-

MEDICAL YOUR COST PER STAMPS’ COST PER DENTAL & VISION YOUR COST PER STAMPS’ COST PER
PAYCHECK PAYCHECK PAYCHECK PAYCHECK

Aetna Medical Deductible HMO Delta Dental DHMO
Employee Only $30.04 $210.99 Employee Only $2.18 $7.35
Employee + Spouse $134.43 $395.83 Employee + 1 $4.46 $11.25

Employee + Child(ren) $134.43 $323.52
Employee + 2 or more $6.53 $16.77
Employee + Family $204.74 $590.64
Delta Dental PPO
Aetna Medical Full HMO Employee Only $4.35 $13.21

Employee Only $50.84 $230.96
Employee + 1 $11.11 $25.80
Employee + Spouse $214.54 $405.43 Employee + 2 or more $21.22 $50.38
Employee + Child(ren) $185.28 $350.14
EyeMed Vision
Employee + Family $320.88 $609.06
Employee Only $3.04 $0
Aetna Medical HSA PPO Employee + 1 $5.78 $0
Employee Only $45.72 $243.62 Employee + 2 or more $8.48 $0
Employee + Spouse $229.15 $407.39

Employee + Child(ren) $197.90 $351.83 IRS CODE Section 125
Employee + Family $295.99 $658.82 The Stamps.com employee benefit plans are designed under Section 125 of the
IRS Code. This allows you to take advantage of federal laws by purchasing some
Aetna Medical OAMC/PPO of your benefits with pre-tax dollars. Under Section 125, your Medical, Dental,

Employee Only $74.93 $303.05 Vision, Flexible Spending and Health Savings account contributions are
deducted before taxes are withheld which saves you tax dollars. Paying for
Employee + Spouse $311.60 $519.95 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
Employee + Child(ren) $282.35 $435.81 advantage, the IRS requires that your elections remain in effect for the entire

Employee + Family $462.33 $785.00 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.

-