Benefits

Medical

Your Medical Benefits

Eligibility:

All full-time employees who work at least thirty 30 hours per week are eligible for coverage the 1st of the month following 30 days of employment.

Platinum PPO

Gold PPO

Silver HMO

Bronze HSA

Medical Contribution Schedule - Monthly

Monthly Pay ContributionsPlatinum PPOGold PPOSilver HMOBronze HSA
Employee$131.83$113.78$112.96$86.90
Employee + Spouse$388.95$334.71$333.29$256.42
Employee + Child(ren)$349.18$301.16$299.20$230.19
Family$540.36$466.39$463.04$356.24
Helpful Resources

Carrier Service Contact
Blue Cross Blue Shield of Illinois
www.bcbsil.com
800-828-3116

Plan Provider Directory

Dental

Your Dental Benefits

Eligibility:

All full-time employees who work at least 30 hours per week are eligible for coverage the first of the month following 30 days from their date of hire.

Dental PPO

Dental Contribution Schedule - Monthly

Monthly Payroll Contribution
Employee$27.11
Employee + Child(ren)$71.14
Employee + Spouse$83.30
Family$129.82
Helpful Resources

Carrier Service Contact
Blue Cross Blue Shield of Illinois
1-800-367-6401
www.bcbsil.com

Policy Number: 119502

Plan Provider Directory

Vision

Your Vision Benefits

Eligibility:

All full-time employees who work at least 30 hours per week are eligible for coverage the first of the month following 30 days from their date of hire.

Vision

Vision Contribution Schedule - Monthly

Monthly Payroll Contribution
Employee$5.70
Employee + Child(ren)$14.44
Employee + Spouse$15.20
Family$22.35
Helpful Resources

Carrier Service Contact
Blue Cross Blue Shield of Illinois
855-362-5539
www.bcbsil.com

Policy Number: VF025946

Provider Network Web Address

Life/AD&D

Your Life/AD&D Benefits

Eligibility:

All full-time employees who work at least 30 hours per week are eligible for coverage the first of the month following 30 days from their date of hire.

Life/AD&D

Helpful Resources

Carrier Service Contact
Blue Cross Blue Shield of Illinois
1-800-367-6401
www.bcbsil.com

Policy Number: VF025946

Long Term Disability

Your LTD Benefits

Eligibility:

All full-time employees who work at least 30 hours per week are eligible for coverage the first of the month following 30 days from their date of hire.

Long Term Disability

Helpful Resources

Carrier Service Contact
Blue Cross Blue Shield of Illinois
www.bcbsil.com

Policy Number: VF025946

Supplemental Life AD&D

Your Supplemental Life/AD&D Benefits

Eligibility:

All full-time employees who work at least 30 hours per week are eligible for coverage the first of the month following 30 days from their date of hire.

Supplemental Life/AD&D

Helpful Resources

Carrier Service Contact
Blue Cross Blue Shield of Illinois
www.bcbsil.com

401(k)

Your 401(k) Benefits

Eligibility:

All employees are eligible after 2 months of service.

Contributions

Match 50% on the first 4% contributed.

Please contact your HR department for more information regarding your contributions.

Plan Details
Helpful Resources

Carrier Service Contact
Transamerica
transamerica.com/portal/home