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    2024 Salaried ICS

    Uploaded by

    Saravanan Muniandi
    The document provides benefit plan and rate information for various medical, dental, vision, life, disability and critical illness insurance options available to salaried employees. It includes contribution amounts for different coverage levels and plans. Rate tables are provided for supplemental life, AD&D, voluntary LTD, critical illness and hospital indemnity insurance broken down by age, tobacco use and coverage tier.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    2024 Salaried ICS

    Uploaded by

    Saravanan Muniandi
    18 views4 pages
    The document provides benefit plan and rate information for various medical, dental, vision, life, disability and critical illness insurance options available to salaried employees. It includes contribution amounts for different coverage levels and plans. Rate tables are provided for supplemental life, AD&D, voluntary LTD, critical illness and hospital indemnity insurance broken down by age, tobacco use and coverage tier.

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    The document provides benefit plan and rate information for various medical, dental, vision, life, disability and critical illness insurance options available to salaried employees. It includes contribution amounts for different coverage levels and plans. Rate tables are provided for supplemental life, AD&D, voluntary LTD, critical illness and hospital indemnity insurance broken down by age, tobacco use and coverage tier.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views4 pages

    2024 Salaried ICS

    Uploaded by

    Saravanan Muniandi
    The document provides benefit plan and rate information for various medical, dental, vision, life, disability and critical illness insurance options available to salaried employees. It includes contribution amounts for different coverage levels and plans. Rate tables are provided for supplemental life, AD&D, voluntary LTD, critical illness and hospital indemnity insurance broken down by age, tobacco use and coverage tier.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Salaried

    2024 Bi-Weekly Payroll Deductions for Benefits


    What you will pay every paycheck for Medical, Dental, and Vision coverage

    Benefit Plan Employee Only Employee + Employee + Employee + Employee +


    Spouse or Child Child(ren) Family
    Domestic
    Partner
    Medical - CareFirst
    HSA 5000 $87.48 $208.36 $160.93 $160.93 $266.40
    Medical - CareFirst
    HSA 2000 $98.59 $246.05 $185.14 $185.14 $319.87

    Dental - MetLife
    Core Plan $9.45 $24.40 $24.40 $44.46 $44.46
    Core Plus Plan $12.72 $32.69 $32.69 $57.64 $57.64

    Vision - VSP $2.50 $5.48 $5.60 $5.60 $9.02

    Supplemental Life and AD&D Monthly Rates -


    MetLife
    Age Employee per Spouse*
    $1,000 per
    $1,000
    less than 30 $0.088 $0.088
    30-34 $0.096 $0.096
    35-39 $0.112 $0.112
    40-44 $0.151 $0.151
    45-49 $0.223 $0.223
    50-54 $0.343 $0.343
    55-59 $0.542 $0.542
    60-64 $0.676 $0.676
    65-69 $1.286 $1.286
    70+ $2.076 $2.076

    AD&D rates are $0.016/$1,000 of Coverage


    Children Life and AD&D: $0.294 per $1,000
    *Spouse rates are based on the employee's
    age
    InfoArmor ID Theft Monthly Rates
    Type of Coverage Monthly Cost
    Individual $9.95
    Family* $17.95

    Voluntary LTD Monthly Rates


    Per
    Age $100 - MetLife
    Employee
    Less than 35 $0.129
    35-39 $0.230
    40-44 $0.383
    45-49 $0.521
    50-54 $0.600
    55-59 $0.728
    60-64 $0.654
    65+ $0.606

    MetLaw Monthly Rates


    Pre-paid Legal Plan
    $22.50 per month for Infinite
    employees
    Your spouse and dependent
    children also have access to plan
    benefits for no additional cost

    MetLife Group Accident Rates and Cost Information


    Monthly Premium
    Employee & Employee & Employee,
    Employee
    Spouse Children Spouse &
    Children
    $11.02 $19.51 $22.84 $28.10
    MetLife Group Critical Illness Monthly Premium Structure per $1,000 of Coverage
    Tobacco Rates

    Employee + Employee & Employee, Spouse


    Issue Ages Employee only Spouse Children & Children
    < 25 $0.53 $0.86 $0.73 $1.06
    25 - 29 $0.53 $0.86 $0.73 $1.06
    30 - 34 $0.76 $1.17 $0.96 $1.37
    35 - 39 $1.07 $1.61 $1.27 $1.81
    40 - 44 $1.70 $2.49 $1.90 $2.69
    45 - 49 $2.45 $3.56 $2.65 $3.75
    50 - 54 $3.49 $5.00 $3.69 $5.20
    55 - 59 $4.78 $6.81 $4.97 $7.01
    60 - 64 $6.78 $9.62 $6.98 $9.82
    65 - 69 $9.32 $13.25 $9.52 $13.45
    70 + $12.86 $18.39 $13.06 $18.59

    MetLife Group Critical Illness Monthly Premium Structure per $1,000 of


    Coverage
    Non-Tobacco Rates

    Employee + Employee & Employee, Spouse


    Issue Ages Employee only Spouse Children & Children
    < 25 $0.38 $0.63 $0.58 $0.83
    25 - 29 $0.38 $0.63 $0.58 $0.83
    30 - 34 $0.52 $0.82 $0.71 $1.01
    35 - 39 $0.70 $1.08 $0.90 $1.28
    40 - 44 $1.08 $1.60 $1.28 $1.80
    45 - 49 $1.52 $2.23 $1.72 $2.43
    50 - 54 $2.13 $3.08 $2.33 $3.28
    55 - 59 $2.88 $4.14 $3.08 $4.33
    60 - 64 $4.04 $5.77 $4.24 $5.97
    65 - 69 $5.46 $7.82 $5.66 $8.01
    70 + $7.43 $10.68 $7.63 $10.88
    MetLife Group Hospital Indemnity Rates and Cost Information
    Monthly Premium
    Coverage Tier Low Plan High Plan
    Employee Only $11.74 $23.47

    Employee + Spouse $23.04 $46.08

    Employee + Children $21.24 $42.47

    Family $36.13 $72.26

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