Laserfiche WebLink
City of Orono <br />Monthly Benefit Costs <br />Example - Single <br />1,541.00 <br />Health insurance selection is <br />the $2,600 deductible plan with the <br />Accord (Open excluding Mayo) network. <br />Dental <br />Health Insurance <br />594.00 <br />Basic Life <br />HSA Contribution <br />281.00 <br />Maximum Single Contribution <br />Dental <br />43.50 <br />Supplemental Life - S <br />Basic Life <br />0.95 <br />Required <br />Supplemental Life <br />16.50 <br />$150,000 age 40 <br />LTD <br />29.25 <br />$30,000 age 40 <br />Total Cost <br />965.20 <br />Employee Contibution <br />City Contribution <br />915.00 <br />Employee Contibution <br />50.20 <br />Example - Family <br />Health insurance selection is the $5,200 deductible plan with the <br />Accord (Open excluding Mayo) network. <br />Health Insurance <br />1,541.00 <br />HSA Contribution <br />281.00 <br />Maximum Single Contribution <br />Dental <br />116.00 <br />Family HSA Limit is $562 <br />Basic Life <br />0.95 <br />Supplemental Life - E <br />16.50 <br />Supplemental Life - S <br />8.25 <br />Spousal life $75,000 age 40 <br />LTD <br />29.25 <br />Total Cost <br />1,992.95 <br />City Contribution <br />1,255.00 <br />Employee Contibution <br />737.95 <br />