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Health Benefits continued<br />

YOUR MEDICAL PLAN OPTIONS<br />

Your medical plan options are offered through BCBSIL or Kaiser (California, Colorado, D.C., Maryland and Northern Virginia residents<br />

only). When you enroll in one of the following plans, you will be required to select which carrier you want to administer your plan.<br />

Medical coverage offers valuable benefits to help you stay healthy and pay for care if you or your covered family members<br />

become sick or injured.<br />

$400 and $900 Deductible Plans with Copays<br />

For the $400 Deductible Plan with Copays and $900 Deductible Plan with Copays:<br />

• You pay a portion of the covered expenses before the plan pays for certain benefits; this amount is called the deductible.<br />

• You’ll pay a copay for certain services.<br />

• After the deductible is paid, you’ll pay a percentage of your covered medical expenses; this amount is called your coinsurance.<br />

• If your share of medical expenses reaches an amount called the out-of-pocket maximum, you won’t have to pay anything for the<br />

rest of the calendar year.<br />

Offered through: BCBSIL or Kaiser (for California, Colorado, D.C., Maryland and Northern Virginia residents only)<br />

$1,850, $2,850 and $6,550 Deductible Plans with HSA<br />

The $1,850 Deductible Plan, $2,850 Deductible Plan and $6,550 Deductible Plan are designed to encourage you to know your<br />

treatment options and the cost implications of your choices.<br />

• You have a higher deductible, but the tax-free Health Savings Account (HSA) and your lower monthly contributions can help<br />

you cover out-of-pocket costs.<br />

• When you enroll in the $1,850 Deductible Plan, $2,850 Deductible Plan or $6,550 Deductible Plan, you will also automatically be<br />

enrolled in Critical Illness insurance at no cost to you.<br />

Offered through: BCBSIL or Kaiser (for California, Colorado, D.C., Maryland and Northern Virginia residents only)<br />

What will you pay?<br />

Your specific benefit costs will be displayed as you’re enrolling on the Mercer Marketplace 365 tool.<br />

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