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14

Cost of Coverage

Advantech Corporation pays for the full cost of coverage for Basic Life, AD&D, STD, and LTD coverage. You share in

the cost of coverage for other plans and coverage levels. It is your responsibility to confirm that the benefit premiums

are correctly deducted from your paycheck. Please contact HR if the deductions did not take place or were

inaccurate.

In general, you pay for health coverage before federal, state, and social security taxes are withheld, so you pay less in

taxes. Please note that unless your domestic partner is also your tax dependent as that term is defined by IRS,

contributions for domestic partner coverage must be made on an after-tax basis. Similarly, the company contribution

toward the cost of domestic partner coverage and his/her dependents is taxable income to you. Contact your tax

advisor for more details on how this tax treatment applies to your specific situation. Contact Advantech Corporation if

your domestic partner is also your tax dependent.

MONTHLY MEDICAL COSTS

Aetna PPO (CA)

Total Cost

Your Cost

Employee Only

$562.81

$144.00

Employee + Spouse

$1,238.18

$361.00

Employee + Children

$1,013.04

$304.00

Employee + Family

$1,744.70

$534.00

Aetna PPO (Non-CA)

Total Cost

Your Cost

Employee Only

$562.81

$80.00

Employee + Spouse

$1,238.18

$222.00

Employee + Children

$1,013.04

$169.00

Employee + Family

$1,744.70

$332.00

Aetna HMO

Total Cost

Your Cost

Employee Only

$510.07

$63.00

Employee + Spouse

$1,142.75 $186.00

Employee + Children

$934.98

$153.00

Employee + Family

$1,610.27 $294.00

Kaiser HMO

Total Cost

Your Cost

Employee Only

$482.06

$63.00

Employee + Spouse

$1,060.52

$192.00

Employee + Children

$867.72

$173.00

Employee + Family

$1,494.39

$294.00

MONTHLY DENTAL COST

Anthem Dental

Total Cost

Your Cost

Employee Only

$39.93

$5.22

Employee + Spouse

$81.25

$18.73

Employee + Children

$96.59

$23.27

Employee + Family

$148.44

$37.79

MONTHLY VISION COST

VSP

Total Cost

Your Cost

Employee Only

$6.60

$0.55

Employee + Spouse

$11.32

$2.50

Employee + Children

$11.55

$3.77

Employee + Family

$18.63

$3.77