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1. Dental-2022

   Human Resources | Page

   services does not apply towards the calendar year maximum. ² Page 1 This is a benefit summary only; any ... first calendar year of coverage. Thereafter, payments increase by 10% each calendar year (up to ... calendar year. If in any calendar year the individual fails to receive covered dental services, the ...

2. Dental Plan 2023

   Human Resources | Page

   Preventive services does not apply towards the calendar year maximum. ² Page 1 Through the Member Dashboard ... start at 70% your first calendar year of coverage. Thereafter, payments increase by 10% each calendar ... during the previous calendar year. If in any calendar year the individual fails to receive covered dental ...

3. Dental Plan- ODS Dental Plan II 2019

   Human Resources | Page

   paid by the plan for Preventive services does not apply towards the calendar year maximum. ² See back ... your first calendar year of coverage. Thereafter, payments increase by 10% each calendar year (up to ... calendar year. If in any calendar year the individual fails to receive covered dental services, the ...

4. Dental Plan- ODS Dental Plan II 2020

   Human Resources | Page

   paid by the plan for Preventive services does not apply towards the calendar year maximum. ² See back ... your first calendar year of coverage. Thereafter, payments increase by 10% each calendar year (up to ... calendar year. If in any calendar year the individual fails to receive covered dental services, the ...

5. Dental- Delta II- 2021

   Human Resources | Page

   Preventive services does not apply towards the calendar year maximum. ² See back for additional information ... Calendar year maximum, per member* $1,500 Calendar year deductible, per member $0 CLASS II- BASIC ² MEMBER ... SERVICES Under this plan, benefits start at 70% your first calendar year of coverage. Thereafter, payments ...

6. Medical Plan- HDHP 1 HSA w Alternative Care-2021

   Human Resources | Page

   supplies. HDHP-1 w/HSA Deductible Per Calendar Year $1,500 Individual $3,000 Family Out-of-Pocket Maximum ... Per Calendar Year Category 1, 2, & 3 – Preferred, Participating, Non- Preferred Providers ... Note: The family out-of-pocket maximum for a calendar year is satisfied when two or more family members’ ...

7. Vision Plan – VSP 12/12/24 2020

   Human Resources | Page

   calendar year w/safety glasses VSP-1 Regence Vision Plan 1 (12/12/24) Benefits Summary Effective January 1, ...  Focuses on your eye health and overall wellness  Every calendar year $0 Prescription Glasses Frame  $120 ... on the amount over your allowance  Every other calendar year $0 Lenses  Single vision, lined ...

8. VSP-1- 2021

   Human Resources | Page

   Licensee of the Blue Cross and Blue Shield Association Vision every calendar year w/safety glasses VSP-1 ... overall wellness  Every calendar year $0 Prescription Glasses Frame  $120 allowance for a wide selection ... allowance  Every other calendar year $0 Lenses  Single vision, lined bifocal, and lined trifocal lenses ...

9. Health Insurance Costs 2022

   Human Resources | Page

   1278.54 110.25 12.06 1402.55 1256.29 146.26 EE + family 1.70 1757.78 194.04 21.69 1975.21 1714.42 260.79 ...

10. Health Insurance Costs 2023

    Human Resources | Page

    810.24 198.26 EE + child(ren) 1.60 1579.35 105.90 26.46 1713.31 1376.27 337.04 EE + spouse 1.60 1858.07 ...

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