2020 Employee Benefits Book | Page 35

Part-Time Employees (30-35 hours/week) Deductions are taken on the first and second paycheck each month. (Part-Time Equivalent = 0.5-.89) Medical/Rx Plan Options Semi-Monthly Rate PURPLE Discounted Rate GOLD Discounted Rate Standard Medical Plan with Standard Rx (Includes Vision) Employee Only^ $63.86 $42.86 $21.86 Employee + Spouse* $293.03 $272.03 $251.03 Employee + Children $222.55 $201.55 $180.55 Employee + Family* $380.60 $359.60 $338.60 $91.17 $70.17 $49.17 Employee + Spouse* $335.84 $314.84 $293.84 Employee + Children $257.70 $236.70 $215.70 Employee + Family* $421.89 $400.89 $379.89 Standard Medical Plan with Enhanced Rx (Includes Vision) Employee Only Enhanced Medical Plan with Standard Rx (Includes Vision) Employee Only $114.94 $93.94 $72.94 Employee + Spouse* $422.61 $401.61 $380.61 Employee + Children $326.05 $305.05 $284.05 Employee + Family* $531.67 $510.67 $489.67 Enhanced Medical Plan with Enhanced Rx (Includes Vision) Employee Only $144.62 $123.62 $102.62 Employee + Spouse* $464.97 $443.97 $422.97 Employee + Children $365.78 $344.78 $323.78 Employee + Family* $579.24 $558.24 $537.24 Discounted rate assumes employee discount only. *Subtract an additional discount if Spouse also completed Healthy Tracks requirement ($21 for PURPLE and $42 for GOLD). ^ Total annual employee cost sharing not to exceed 9.78% of annual wages. Part-Time Employees (20-29 hours/week) Medical/Rx Plan Options Semi-Monthly Rate PURPLE Discounted Rate GOLD Discounted Rate Standard Medical Plan with Standard Rx (Includes Vision) Employee Only^ $147.28 $126.28 $105.28 Employee + Spouse* $520.19 $499.19 $478.19 Employee + Children $442.59 $421.59 $400.59 Employee + Family* $672.80 $651.80 $630.80 33