Employee Benefits Enrollment

Deductible (In-Network): $3,500 Individual / $7,000 Family Out-of-Pocket Max (In-Network): $8,150 Individual / $16,300 Family Copays: PCP $25, Specialist $75, Urgent Care $50, ER $300 Coinsurance: 20% In-Network / 50% Out-of-Network Prescription: Tier 1: $10, Tier 2: $35, Tier 3: $75, Tier 4: $250

Deductible: $50 Year 1, $25 Year 2, $0 Year 3+ Family Deductible: $150 Year 1, $75 Year 2, $0 Year 3+ Coverage: Preventative 100%, Basic 80%, Major 10% Maximum Annual Benefit: $1,000 Waiting Period: None

In-Network Benefits: Exam $10, Materials Copay $25 Frame Allowance: $100 or $150 at Visionworks with 20% discount Contact Lenses: $0 copay every 12 months Frequency: Exam every 12 months, Lenses/Contacts every 12 months, Frames every 24 months

Benefit Amount: $7,500 payout for cancer diagnosis Dependent Children: $15,000 payout for cancer diagnosis, children covered free Wellness Benefit: $100 wellness benefit per year

Covered Services: ER visits, X-rays, ambulance, rehabilitation, fractures, dislocations, burns, lacerations, and more Wellness Benefit: $100 for any doctor visit per year Coverage: 24/7 on and off the job protection

Benefit Options: $500, $1,000, $1,500, or $2,000 payout for hospital or mental illness facility confinement Additional Benefits: Emergency room, rehabilitation, and short-stay coverage

Covered Conditions: Heart attack, stroke, coronary artery bypass, cardiac arrest, burns, coma, paralysis, organ transplant, kidney failure Benefit Amount: $25,000 payout, $30,000 for dependent children, $12,500 if illness occurs again Additional Benefits: Transportation, lodging, and hospital stay assistance

Coverage Options: Term Life & Whole Life available Employee Coverage: Up to $500,000 (adjustable in $1,000 increments) Spouse Coverage: Up to $50,000 (adjustable in $1,000 increments) Child Coverage: $15,000