Basic AD&D
Coverage: 5 x Salary + $1,000 (Base) + $1,000
Total Amount: $10,000.00
|
Basic AD&D
|
1/1/2000
|
$2.00
|
$2.00
|
Basic Life Plan
Coverage: 1 x Salary
Total Amount: $47,424.00
|
Basic Life
|
1/1/2000
|
$0.00
|
$4.00
|
|
|
Medical
|
1/1/2000
|
$162.63
|
$91.23
|
Child Life Plan
Coverage: 50% of Voluntary Life Plan Benefit
Total Amount: $10,000
|
Child Life
|
1/1/2000
|
$3.00
|
$0.00
|
Delta DMO
Coverage: Family
|
Dental
|
1/1/2000
|
$21.74
|
$24.15
|
Dental (Contingent)
Coverage: Family
|
Dental
|
1/1/2000
|
$1.00
|
$2.00
|
Dependent Care Reimbursement FSA
Contribution: $2,500.00
|
FSA
|
1/1/2000
|
$34.00
|
$0.00
|
Health Care
Contribution: $5,000.00
|
FSA
|
1/1/2000
|
$69.00
|
$0.00
|
Long Term Disability
Coverage: 1 x Salary
Total Amount: $10,000
|
LTD
|
1/1/2000
|
$0.34
|
$0.00
|
Medical (Contingent)
Coverage: Family
|
Medical
|
1/1/2000
|
$122.63
|
$31.23
|
|
|
STD
|
1/1/2000
|
$0.35
|
$0.00
|
Spouse Life Plan
Coverage: 50% of Voluntary Life Plan Benefit
Total Amount: $10,000
|
Spouse Life
|
1/1/2000
|
$3.00
|
$0.00
|
Vision Service
Coverage: Family
|
Vision
|
1/1/2000
|
$11.45
|
$12.65
|
