Page 22 - American Business Bank EE Guide 01-19 - C2

Employee Contributions

This chart compares the bi-weekly 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. For your convenience, your age-banded Voluntary Life and AD&D premiums have been pre-calculated
for you in ADP.

Employee Employee Employee Employee
Only + Spouse + Child(ren) + Family

Medical Options
Kaiser Permanente HMO $60.58 $139.34 $121.17 $218.10
Blue Shield HMO $57.12 $164.22 $142.80 $257.03
Blue Shield PPO $122.81 $329.53 $286.56 $515.81
Blue Shield HSA PPO $52.66 $151.41 $131.70 $236.98
Dental Option
Delta Dental PPO $6.44 $12.27 $13.64 $19.55
Vision Option
Delta Dental PPO $1.18 $2.02 $2.06 $3.32

The following benefits are provided to you at no charge and are paid by American Business Bank:
• Basic Life/AD&D
• Long Term Disability
• Employee Assistance Program
• Travel Assistance Program

The following benefits are available for you to purchase at discounted group rates. Should you elect these benefits, you will pay
100% of the cost:
• Voluntary Life/AD&D
• Supplemental Benefits: Critical Illness, Accident, Whole Life, Hospital Indemnity, Long Term Care, Cancer Guardian

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