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Your benefits are a reflection of you.

Your benefits are a reflection of you. Flexible Benefits Program Rate Summary 2013 Plan Year. Life Coverage. Spouse Life rates are based on the employee’s age Note: Computations are based on rate per thousand An Administrative Fee will be added to the premium.

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Your benefits are a reflection of you.

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  1. Your benefits are a reflection of you.

  2. Flexible Benefits Program Rate Summary 2013 Plan Year Life Coverage • Spouse Life rates are based on the employee’s age • Note: Computations are based on rate per thousand • An Administrative Fee will be added to the premium

  3. Flexible Benefits Program Rate Summary 2013 Plan Year Life Coverage (continued) • Child Life Rates based on coverage Level • Must be enrolled in employee life • An Administrative Fee is reflected in the premium Dental Plans • Cigna DHMO dental network is available to those who work and live in the Metro • Atlanta area. • An administrative fee is reflected in the premium

  4. Flexible Benefits Program Rate Summary 2013 Plan Year Vision Plan • An Administrative Fee is reflected in the premium Legal Plan • An Administrative Fee is reflected in the premium

  5. Flexible Benefits Program Rate Summary 2013 Plan Year Disability Plans • An Administrative Fee will be added to the premium • Note: Computations are based on rate per thousand

  6. Flexible Benefits Program Rate Summary 2013 Plan Year Spouse Illness Only Plan Specified Employee Illness Only Plan • Employees who are under age 18 and over age 69 as of October 1, 2012 are not eligible to select the Specified Illness Option. If an employee enrolls in the Specified Illness plan and then buys up at a subsequent Annual Enrollment, the premiums will be based on the original issue age. • An Administrative Fee is reflected in the premium

  7. Flexible Benefits Program Rate Summary 2013 Plan Year Spouse Illness & Accident Plan Specified Employee Illness & Accident Plan • Employees who are under age 18 and over age 69 as of October 1, 2012 are not eligible to select the Specified Illness Option. If an employee enrolls in the Specified Illness plan and then buys up at a subsequent Annual Enrollment, the premiums will be based on the original issue age. • An Administrative Fee is reflected in the premium

  8. Flexible Benefits Program Rate Summary 2013 Plan Year Spending Accounts Long Term Care • An Administrative Fee will be added to the premium

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