LM_SW_Benefits Guide 2024

Employee Medical Contributions

NEW! Four Tier Employee Coverage Levels MEDICAL

EMPLOYEE MONTHLY COST

ANNUAL SALARY AS OF JANUARY 1, 2024

NEW! OAP-IN $187.80 $459.66 $440.64 $506.82

COVERAGE LEVEL

HSA

$206.40 $505.05 $484.07 $556.94

Individual Individual + Spouse Individual + Child(ren) Family

UP TO $60,000 (22% OF PREMIUM)

Individual Individual + Spouse Individual + Child(ren) Family

$215.78 $528.01 $506.07 $582.26

$196.33 $480.55 $460.67 $529.85

$60,001 - $100,000 (23% OF PREMIUM)

Individual Individual + Spouse Individual + Child(ren) Family

$328.36 $803.49 $770.11 $886.05

$298.77 $731.28 $701.02 $806.30

$100,000 - $150,000 (35% OF PREMIUM)

Individual Individual + Spouse Individual + Child(ren) Family

$337.74 $826.45 $792.11 $911.36

$307.30 $752.17 $721.05 $829.33

$150,000 + (36% OF PREMIUM)

Log into www.workforcenow.adp.com and click on Resources – Company Information – Tools/Resources – 2024 Benefit Documents for details. In the event of a discrepancy, the carrier Plan Document shall prevail.

Medical Insurance contributions will be deducted from your paychecks on a pre-tax basis

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QUESTIONS? Call BenefitsVIP ® at 866.286.5354