2024 Benefits Booklet

Medical

TABLE OF CONTENTS WELCOME..............................2 WHAT’S NEW........................3 HOW TO ENROLL......... 4-5 MEDICAL......................... 6-13 PRESCRIPTION DRUG.............................. 14-15 ADDITIONAL MEDICAL PLAN RESOURCES............... 16-18 DENTAL......................... 19-20 VISION....................................21 LIFECENTER........................22 LIFE INSURANCE.............23 DISABILITY..........................24 VOLUNTARY OFFERINGS................. 25-28 SPENDING ACCOUNTS.........................29 RETIREMENT BENEFITS..............................30 CONTACTS.................. 31-32

2024 Medical Plan Bi-Weekly Contribution Rates

Full-Time

Part-Time

$0-49,999k

$50-109,999k $110,000-199,999k

$200k+

$0-49,999k

$50-109,999k

$110,000-199,999k

$200k+

Horizon Engaged Plan

Employee

$40.68

$49.22

$92.54

$102.37

$81.21

$93.61

$185.08

$204.71

Employee + Spouse

$69.65

$84.29

$158.48

$175.30

$139.08

$160.30

$316.94

$350.56

Employee + Child(ren)

$56.14

$67.94

$127.77

$141.30

$112.10

$129.21

$255.46

$282.57

Family

$111.23

$134.59

$253.05

$279.94

$222.08

$255.97

$506.11

$559.80

Horizon PPO

Employee

$161.94

$178.54

$226.98

$236.49

$191.77

$211.43

$352.00

$367.86

Employee + Spouse

$277.33

$305.76

$388.70

$404.97

$328.42

$362.07

$604.68

$629.99

Employee + Child(ren)

$223.53

$246.46

$313.32

$326.45

$264.72

$291.84

$487.37

$507.76

Family

$442.85

$488.24

$620.71

$646.69

$524.42

$578.16

$965.56

$1,005.98

*$25 surcharge will be added to your bi-weekly deductions if you utilize tobacco products. A Spouse & Partner Preferred Choice Premiummay also apply. See page 8 for details. ** Note, salary changes may result in changes to your contribution rate

To learn more about your Wellness Benefits scan here:

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