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EMP LOY E E

C O N T R I B U T I O N S

29

Semi-Monthly Bi-Weekly Monthly

<25 $0.037 $0.034 $0.073

25-29 $0.042 $0.039 $0.084

30-34 $0.056 $0.052 $0.112

35-39 $0.063 $0.058 $0.126

40-44 $0.070 $0.065 $0.140

45-49 $0.107 $0.098 $0.213

50-54 $0.161 $0.149 $0.322

55-59 $0.301 $0.278 $0.602

60-64 $0.462 $0.426 $0.924

65-69 $0.889 $0.821 $1.778

70+ $1.442 $1.331 $2.884

Child $0.090 $0.083 $0.180

Family Unit

$1.000 $0.923 $2.000

Employee Only

AD&D

$0.018 $0.016 $0.035

Family AD&D $0.030 $0.028 $0.060

Employee Only $0.125 $0.115 $0.250

Deduction per pay period (

LTD Buy-Up

) = Annual Base Salary/12/$100 times illustrated rate by pay frequency

(Increases benefit payable from 60% to

66.67% of pre-disability earnings)

NOTE

: Medical, dental, vision and supplemental long-term disability contributions are made pre-tax. Annual Base

Salary for hourly employees is the employee's standard hourly rate multiplied by 2080. It excludes over-time and

any other compensation. Actual payroll deductions may vary slightly due to rounding.

Deduction per pay period (

AD&D

) = Elected amount in $50,000 increments/$1,000 times illustrated rate by family tier by pay

frequency

Supplemental Long-Term Disability Insurance

Employee/Spouse Rates

based on employee age

as of 1/1/2018

:

Supplemental Employee, Spouse and Dependent Life Insurance

Deduction per pay period (

Spouse Life coverage

) = Elected amount/$1,000 times illustrated rate by age (based on employee's

age) band by pay frequency

Deduction per pay period (

Employee Life coverage

) = Annual Base Salary rounded to next highest $1,000/$1,000 times

elected increment of salary (1-6X) times illustrated rate by age band by pay frequency

Rates

($1,000 increments up to $5,000 max -

covers each child for elected amount)

($10,000 Spouse and $5,000 Child(ren) -

flat rate regardless of number of

individuals covered)