GBS DLL booklet 2016_V6
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<strong>2016</strong> <strong>DLL</strong> Benefits Guide<br />
Employee Costs (bi-weekly)<br />
Medical/Prescription Coverage<br />
HDHP/HSA Plan EPO Plan PPO Plan<br />
Employee $41.30 $55.12 $70.02<br />
Employee & Child(ren) $69.79 $82.48 $110.75<br />
Employee & Spouse/<br />
Domestic Partner<br />
$73.38 $87.58 $117.38<br />
Family $105.68 $133.49 $177.04<br />
Dental/Vision Coverage<br />
Dental Plan<br />
Vision<br />
Employee $10.20 Employee $1.30<br />
Employee & Child(ren) $29.35 Employee & Child(ren) $3.32<br />
Employee & Spouse/<br />
Domestic Partner<br />
$29.35 Employee & Spouse/<br />
Domestic Partner<br />
$3.32<br />
Family $29.35 Family $3.32<br />
Businessolver or <strong>DLL</strong>benefits.com<br />
can provide you with additional cost<br />
information for:<br />
— Supplemental Life and AD&D Insurance<br />
If you have any questions, visit<br />
<strong>DLL</strong>benefits.com or contact<br />
Businessolver at 855 851 6801.<br />
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