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33

2017 Stantec

Benefits Guide

Medical Plans (continued)

Total

Monthly Cost

Monthly

Employee Rate

with

Platinum

Discount

Monthly

Employee

Rate with

Gold

Discount

Monthly

Employee Rate

with

Standard

Discount

COBRA

Kaiser HMO (CA)

Employee only

$472.11

$154.00

$180.00

$295.00

$481.55

Employee and spouse

or domestic partner

$1,062.26

$403.00

$456.00

$544.00

$1,083.51

Employee and

child(ren)

$897.02

$342.00

$397.00

$483.00

$914.96

Family

$1,534.37

$537.00

$608.00

$678.00

$1,565.06

Kaiser HMO (CO)

Employee only

$507.15

$154.00

$180.00

$295.00

$517.29

Employee and spouse

or domestic partner

$1,039.66

$403.00

$456.00

$544.00

$1,060.45

Employee and

child(ren)

$1,014.30

$342.00

$397.00

$483.00

$1,034.59

Family

$1,465.67

$537.00

$608.00

$678.00

$1,494.98

Spouse and Domestic Partner Medical Plan Surcharge

If your spouse or domestic partner is covered under our health plan and has the ability to be covered

under his or her own employer’s group medical plan, a $150 per month surcharge will be included in

your medical premium deduction to maintain coverage with Stantec. If you elect medical coverage

for your spouse or domestic partner when you enroll online, you’ll be asked if he or she has access to

other group medical coverage (excluding Medicare).

Dental Plans

Total

Monthly Cost

Monthly

Employee Rate COBRA

Cigna Dental Base Plan

Employee only

$41.21

$20.00

$42.03

Employee and spouse

or domestic partner

$81.88

$67.00

$83.52

Employee and

child(ren)

$70.79

$57.00

$72.21

Family

$115.16

$87.00

$117.46

Cigna Dental Buy-up Plan

Employee only

$53.53

$32.00

$54.60

Employee and spouse

or domestic partner

$107.75

$91.00

$109.91

Employee and

child(ren)

$92.97

$78.00

$94.83

Family

$152.12

$122.00

$155.16