For the year starting October 1, 2021 through September 30, 2022, the premium breakdown for health, dental, vision and life.
PER PAY PERIOD
- Employee Only $ 25.00
- Employee + Spouse $ 341.95
- Employee + Child(ren) $ 262.71
- Employee + Family $ 606.07
HUMANA PPO – DENTAL PLAN Dental
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$50/ $150 Deductible, 100/ 80/ 50, $1,500 Calendar Year Max
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PER PAY PERIOD
- Employee Only $ 12.62
- Employee + Spouse $ 25.23
- Employee + Child(ren) $ 32.17
- Employee + Family $ 44.78
UHC – VISION PLAN Vision
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$10 Exam Copay, $25 Material Copay, $130 Frame/$105 Contact Lenses Allowance, 12/12/24
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PER PAY PERIOD
- Employee Only $3.87
- Employee + Spouse $7.35
- Employee + Child(ren) $8.62
- Employee + Family $12.13
HUMANA –BASIC LIFE AND AD&D INSURANCE Life
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The City of Mathis provides you with Basic Life and AD&D insurance through
HUMANA in the amount of $15,000 - at no cost to the full-time employee.
HUMANA –VOLUNTARY LIFE AND AD&D INSURANCE |
In addition to the Basic Life Insurance, you may purchase supplemental life insurance for yourself, your spouse, or and/or you children with HUMANA. This benefit is voluntary, and premiums are 100% paid by the employee on a post tax basis.