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Food Depot Health Insurance 2016

High Deductible Plan

This option for health insurance satisfies the company obligation to provide affordable coverage and

provide Essential Health Benefits as mandated by the Affordable Care Act. Your payroll deduction will

be taken out pre-tax. Once you are on the plan, you sign up for the entire year, no on and off. We were

also able to lower dependent costs this year.

2016 Payroll Deduction

Employee Only

$ 40

Employee and Spouse

$310

Employee and Children

$285

Family

$478

This plan is a deductible only plan. It has no copays for anything. The deductible is $5,600 per person.

After that United Healthcare pays the rest for in network care. If you go to the doctor, get medicine,

have surgery, go to the ER, you pay the bill until your charges reach $5,600. You will receive the

discounted rate that UnitedHealthcare has negotiated. Mandated preventative care is covered at 100%

with no deductible

By electing this plan, you can establish a Health Savings Account (HSA). The preferred vendor is Optum

Bank, a subsidiary of UnitedHealthcare.

For any questions throughout the year, please contact

United Healthcare at

866-314-0335

This letter is a summary of benefits and actual plan documents will prevail in case of discrepancy.