Health Insurance Payroll Deductions PPO HMO Employee 77

Health Insurance Payroll Deductions PPO HMO Employee $77. 76 $69. 12 Employee + 1 $288. 97 $256. 86 Family $361. 21 $321. 07

Dental Insurance Payroll Deductions PPO DMO Employee $4. 45 $2. 37 Family $21. 85 $10. 07

Short-Term Disability Insurance is provided to all full-time employees. Distinctive Schools pays the full premium for this benefit. Elimination Period Benefit Duration Benefit Percentage Weekly Maximum 15 day Injury / 15 days Sickness 11 weeks 60% of salary $600

Long-Term Disability Insurance is provided to all full-time employees. Distinctive Schools pays the full premium for this benefit. Elimination Period Benefit Duration Benefit Percentage Monthly Maximum 90 days To SSNRA 60% of salary $6, 000

Life Insurance & AD&D Basic Term Life & AD&D Insurance is provided to all full-time employees. Distinctive Schools pays the full premium for this benefit. Benefit 100% of annual earnings to $300, 000 maximum

Voluntary Life Insurance & AD&D Voluntary Term Life & AD&D Insurance is available to all full-time employees. This is a voluntary benefit paid for by the employee. To Calculate Monthly Premium: Multiply Age Table Rate by Life Insurance Amount Divided by $1, 000 Example: Age 35 -39, $50, 000 Life Insurance $. 11 x 50 = $5. 50 Monthly

Voluntary Accident Plan You and your dependents may enroll in the voluntary Accident Plan. For every covered accident, Guardian pays a flat dollar amount for various treatments and/or services regardless of what is covered by medical insurance. Services include: • Emergency room or urgent care facility treatment • Imaging, such as x-rays. • Injury or diagnosis, such as burns, dislocations, fractures, concussions, eye injuries, and lacerations. • Treatments, such as epidural anesthesia pain management, joint replacement, rehabilitation unit confinement and surgery. • Hospital admission & confinement • Follow-up care, such as follow-up visits to doctors and occupational or physical therapy. • Wellness, such as wellness screenings or procedures Payroll Deductions Employee $5. 16 Employee + Spouse $8. 72 Employee + Child(ren) $9. 38 Family $12. 94

Voluntary Accident Plan

Employee Assistance Program

Voluntary Vision Insurance Payroll Deductions Employee $2. 94 Employee + Spouse $4. 70 Employee + Child(ren) $4. 80 Family $7. 74

Flexible Spending Account (FSA) Employees are eligible to participate in a Flexible Spending Account through TASC. This plan allows you to pay for out-of-pocket medical expenses and dependent care with pre-tax dollars.