Page 15 - MMI Benefit Guide 2018 FINAL
P. 15

Contributions





                                             Employee Rate             Employee Rate             Employer Rate
                                          Per Paycheck Cost (24)       Monthly Cost              Monthly Cost
         Dental Sun Life DMO—Select states only.
         Employee                             $1.97 - $2.05             $3.95 - $4.11             $9.21—$9.58
         Employee + Spouse                    $3.26 - $3.56             $6.52 - $7.11            $15.20—$16.59
         Employee + Child(ren)                $4.45 - $5.07            $8.90 - $10.14            $20.78—$23.65
         Employee + Family                    $5.23 - $5.93            $10.46 - $11.85           $24.42—$27.66
         Dental Sun Life PPO—CA and Non CA
         Employee                                $7.29                    $14.58                    $34.01
         Employee + Spouse                       $14.50                   $29.01                    $67.68
         Employee + Child(ren)                   $17.64                   $35.27                    $82.30
         Employee + Family                       $24.85                   $49.70                    $115.97
         Vision Sun Life—CA and Non CA

         Employee                                $4.81                     $9.61                     $0.00
         Employee + Spouse                       $9.61                    $19.22                     $0.00
         Employee + Child(ren)                   $10.57                   $21.14                     $0.00
         Employee + Family                       $15.38                   $30.75                     $0.00

         Voluntary Benefits
          For Voluntary Life/AD&D, STD, Critical Illness and Accident costs, please refer to your benefits in the ADP employee self-service.

















































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