Employee Benefits

For the year starting October 1, 2019 through September 30, 2020, the premium breakdown for health, dental, vision and life.

UHC – EPO MEDICAL PLAN - BENEFITS AT A GLANCE


$3,000 Ind. Deductible, 80%/0%, $0 PCP, $100 Specialist, RX $5/ $50/ $100/ $250/ $500


PER PAY PERIOD

  • Employee Only                $25.00
  • Employee + Spouse        $291.35
  • Employee + Child(ren)   $224.76
  • Employee + Family         $513.29


MUTUAL OF OMAHA – DENTAL PLAN


$50/ $150 Deductible, 100/ 80/ 50, $1,500 Calendar Year Max, Perio/ Endio in Basic (80%)



PER PAY PERIOD

  • Employee Only                $11.60
  • Employee + Spouse        $23.19
  • Employee + Child(ren)   $23.39
  • Employee + Family         $36.08


UHC – VISION PLAN


$10 Exam Copay, $25 Material Copay, $130 Frame/$105 Contact Lenses Allowance, 12/12/24



PER PAY PERIOD

  • Employee Only                  $3.87
  • Employee + Spouse          $7.35
  • Employee + Child(ren)     $8.62
  • Employee + Family           $12.13


MUTUAL OF OMAHA –BASIC LIFE AND AD&D INSURANCE


The City of Mathis provides you with Basic Life and AD&D insurance through

Mutual of Omaha in the amount of $15,000 - at no cost to the full time employee. 

MUTUAL OF OMAHA –VOLUNTARY LIFE AND AD&D INSURANCE

In addition to the Basic Life Insurance, you may purchase supplemental life insurance for yourself, your spouse, or your children through Mutual of Omaha (PDF). This benefit is voluntary and premiums are 100% paid by the employee on a post tax basis.