Page 9 - Coast Sign Benefit Summary 2017 - Non- CA - sent 9.26.17

Rates and Contributions

This chart compares the weekly contributions for our employee benefit plans. Your cost for coverage
will vary depending on the option and level of coverage you choose.
Weekly Employee Rate
Medical PPO - Anthem

Employee Only $34.36
Employee + Spouse $170.11
Employee + Child(ren) $108.25
Employee + Family $266.33

NOTES: Dental PPO - Premier Access
Employee Employee Only $6.56
contributions for Employee + Spouse $12.29
Medical, Dental and
Vision are deducted Employee + Child(ren) $15.72
from your paycheck Employee + Family $25.66
with pre-tax dollars. Vision - EyeMed
This means that
contributions are Employee Only $1.27
taken from your
Employee + 1 $2.41
earnings before
Employee + Family $3.54
taxes – resulting in
lower taxes and Basic Life and AD&D - Anthem
increased take home
pay. Employee Only Paid by Coast Sign
Voluntary Coverages / (Long Term Disability, Accident, Critical Illness)

Employee Only 100%
If you are enrolling
dependents onto
your plan(s) you
must provide legal
proof with your
enrollment form (i.e.
marriage certificate
for enrolling spouses,
and/or birth
certificates for
enrolling children).

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