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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.

Total Monthly Wayfinders Employee
Premium Monthly Cost Monthly Cost
Medical HMO - Anthem Blue Cross SELECT Value HMO Network

Employee Only $542.21 $442.71 $99.50
Employee + 1 $1,138.20 $704.65 $433.55
Employee + 2 or more $1,626.08 $948.59 $677.49
Medical HMO - Anthem Blue Cross TRADITIONAL Value HMO Network
Employee Only $696.27 $522.20 $174.07
Employee + 1 $1,461.36 $904.75 $556.61
Employee + 2 or more $2,087.77 $1,217.95 $869.82
Medical HMO - Kaiser HMO Traditional Plan

Employee Only $454.84 $341.13 $113.71
Employee + 1 $909.69 $568.56 $341.13
Employee + 2 or more $1,287.21 $756.88 $530.33
Dental PPO - Anthem Blue Cross Dental Complete PPO Network

Employee Only $52.21 $39.16 $13.05
Employee + 1 $103.44 $64.77 $38.67
Employee + 2 or more $179.73 $102.92 $76.81
Vision PPO - Anthem Blue Cross Blue View Vision PPO Network

Employee Only $7.30 $5.48 $1.82
Employee + 1 $11.69 $7.68 $4.01
Employee + 2 or more $18.99 $11.33 $7.66
Basic Life and AD&D - Anthem Blue Cross

Employee Only / $20k Employer Pays 100% No Charge
Voluntary Life and AD&D - Mutual of Omaha

Employee Coverage Age-Rated Employee Pays 100% Employee Pays 100%
Spouse Coverage Age-Rated Employee Pays 100% Employee Pays 100%
Children Coverage Employee Pays 100% Employee Pays 100%
Voluntary Long-Term Disability - Mutual of Omaha
Employee Only Employee Pays 100% Employee Pays 100%

Employee Assistance Program - Anthem Life Resource Advisor
Employee + Family Employer Pays 100% No Charge

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