Employee Benefits

For the year starting October 1, 2021 through September 30, 2022, the premium breakdown for health, dental, vision and life.

2021-2022 BENEFITS AT A GLANCE
2021-2022 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        $ 341.95
  • Employee + Child(ren)   $ 262.71
  • Employee + Family         $ 606.07


HUMANA PPO – DENTAL PLAN
Dental


$50/ $150 Deductible, 100/ 80/ 50, $1,500 Calendar Year Max



PER PAY PERIOD

  • Employee Only                $ 12.62
  • Employee + Spouse        $ 25.23
  • Employee + Child(ren)   $ 32.17
  • Employee + Family         $ 44.78


UHC – VISION PLAN
Vision


$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


HUMANA –BASIC LIFE AND AD&D INSURANCE 
Life


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.