Page 7 - Tender Greens EE Guide 01-20 Non-CA.pub
P. 7

Contributions








                                                                              Team Member Portion
                                Plan                                             (Per Pay Period)
         Medical Options

         PPO HDHP
         Team Member Only                                                              $45
         Team Member + Spouse                                                          $134
         Team Member + Child(ren)                                                      $109
         Team Member + Family                                                          $194
         PPO
         Team Member Only                                                              $130
         Team Member + Spouse                                                          $336
         Team Member + Child(ren)                                                      $245
         Team Member + Family                                                          $467

         Dental Option
         Team Member Only                                                               $6
         Team Member + Spouse                                                          $16
         Team Member + Child(ren)                                                      $19
         Team Member + Family                                                          $27

         Vision Option
         Team Member Only                                                               $1
         Team Member + Spouse                                                           $3
         Team Member + Child(ren)                                                       $3
         Team Member + Family                                                           $5

         The following benefits are provided to you at no charge and   The following benefits are available to you at discounted group
         are paid by Tender Greens:                           rates. Should you elect these benefits, you will pay 100% of the
           Basic Life/AD&D                                  cost:
           Employee Assistance Program                        Voluntary Life/AD&D
           Travel Assistance                                  Voluntary Short Term Disability
           Will Preparation Assistance                        Voluntary Long Term Disability

         For your convenience, your age-banded Voluntary Life/AD&D, Short

         Term Disability and Long Term Disability premiums have been

         pre-calculated for you in UltiPro.



















                                                                                               Team Member Benefits
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