Non-Union RENTAL REP, 0243, PA Print to PDF

Medical

HSA Standard
Coverage Level Your Cost – Tobacco Free Your Cost – Tobacco User
Per Pay Period Annual Per Pay Period Annual
Employee Only $79.46 $2,065.92 $95.35 $2,479.20
Employee + Child(ren) $139.82 $3,635.40 $167.78 $4,362.28
Employee + Spouse/Domestic Partner $218.50 $5,681.04 $262.20 $6,817.20
Employee + 2 or 3 $264.33 $6,872.58 $317.20 $8,247.20
Employee + 4 or More $296.21 $7,701.48 $355.45 $9,241.70
HSA Essential

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Aetna Open Access Advantage

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Aetna Open Access Premier

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Dental

Aetna Dental PPO
Coverage Level Per Pay Period Annual
Employee Only $12.34 $320.84
Employee + Child(ren) $24.56 $638.56
Employee + Family $39.21 $1,019.46

Vision

United Healthcare Vision Plan
HSA Standard
Coverage Level Per Pay Period Annual
Employee Only $5.12 $133.12
Employee + Spouse/Domestic Partner $9.85 $256.10
Employee + Child(ren) $10.45 $271.70
Employee + Family $14.22 $369.72

Other Benefits

Basic Life

Short Term Disability

Long Term Disability

401(k)

Cash Balance