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2006-2007 INSURANCE PREMIUMS

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2006-2007 INSURANCE PREMIUMS Powered By Docstoc
					                            2011-2012 INSURANCE PREMIUMS
                                  MONTHLY PAYCHECK


ActiveCare 1 - $1,200 Deductible          12 paychecks                  ActiveCare 1HD - $2,400 Deductible
Employee Only                              100.00                                  62.00
Employee & Spouse                          516.00                                 478.00
Employee & Child(ren)                      294.00                                 223.00
Employee & Family                          592.00                                 695.00
Emp & Family (Both employees)              367.00                                 470.00
SPLIT Premiums                             183.50                                 235.00

ActiveCare 2 - $750 Deductible            12 paychecks
Employee Only                               209.00
Employee & Spouse                           762.00
Employee & Child(ren)                       465.00
Employee & Family                           860.00
Emp & Family (Both employees)               635.00
SPLIT Premiums                              317.50

ActiveCare 3 - $300 Deductible            12 paycheck
Employee Only                               359.00
Employee & Spouse                         1,103.00
Employee & Child(ren)                       706.00
Employee & Family                         1,236.00
Emp & Family (Both employees)             1,011.00
SPLIT Premium                               505.00

Guardian PPO NAP Dental
Employee Only                                37.14
Employee & Spouse                            72.47
Employee & Child(ren)                        83.04
Employee & Family                           119.51

Guardian PPO VALUE Dental
Employee Only                                26.28
Employee & Spouse                            52.09                     R – both EE contribution
Employee & Child(ren)                        58.76                     S –EE+Dependents OAG
Employee & Family                            84.56
                                                                       T – EE only OAG
Guardian DHMO                                                          U – Split – decline (secondary)
Employee Only                                 9.74
Employee & Spouse                            15.90                     V – Split Family (primary)
Employee & Child(ren)                        22.38
Employee & Family                            24.78                     Y – EE+Family Both EE’s
Superior Vision
Employee only                                 8.92
Employee & Spouse                            17.66
Employee & Child(ren)                        17.32
Employee & Family                            26.32

OTHER BENEFITS AVAILABLE:
MetLife Term Life – Guaranteed issue for new employees at time of hire. Premiums based on salary
and age of employee.
Cancer - Premiums based on the plan chosen by employee.
Unum Disability/Income Protection -. Premiums based on salary and the plan chosen by employee.
Accidental Death and Dismemberment - Premiums based on plan chosen by employee.

                                              Bi-weekly premiums on reverse side     Updated 03/28/2011

				
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posted:5/12/2011
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