2016 Employee Benefits Guide

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Sugar Creek Realty
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EMPLOYEE COST PER PAY PERIOD
Medical
DY-3
$1000 Ded
AD-2H
$1500 Ded
DY-1
$5000 Ded
AD-2K (HSA)
$5500 Ded
Employee $135.25 $79.40 $68.25 $37.80
For Spouse and dependent rates contact Lynn Ziegelmeier in Human Resources at
314-561-6814 or
Dental P5430
Employee $11.00
Employee & Spouse $21.95
Employee & Child(ren) $22.15
Family $34.15
Vision V1008
Employee $3.30
Employee & Spouse $6.28
Employee & Child(ren) $7.33
Family $10.33
Health Savings Account (HSA)
If participating, what is your monthly contribution? (Yearly Maximums: Individual $3,350; Family $6,750
and if you are 55 or older, you can make “catch-up” contributions of an additional $1,000 per year.)
Contact Human Resources to obtain the H.S.A. contribution form.