FSA & COMMUTER RETIREMENT 401K SENTINEL BENEFITS & TASC EMPOWER RETIREMENT Employees can choose to contribute up Employees can contribute up to Healthcare to $2,850 pre-tax annually to a Maximum $20,500 annually. Employees age 50+ FSA Healthcare Flexible Spending Account Annual can contribute an additional $,6,500 (FSA). Funds may be used for eligible Contribution annually medical, dental, and vision expenses. Employees can choose to contribute up ABC ABC matches up to 4% of your annual Dependent to $5,000 pre-tax annually to a Contribution contribution Care FSA Dependent Care FSA ($2,500 if married and filing separately). Funds may be The 401(k)-retirement plan is used for eligible caregiving expenses. administered through Empower Employees can choose to contribute up Plan Retirement. You can create an online Commuter to $280 pre-tax monthly to both Administrator account to track your balances, & Parking Commuter & Parking accounts. Funds change your contribution amounts, may be used for eligible expenses to and and more. from work. PRINCIPAL PERKS EMPLOYEE COSTS PRINCIPAL BI-WEEKLY You and your family can access free, MEDICAL –BCBS HMO Employee confidential resources to help with any Assistance challenges you have. Access 24/7 Employee $95.50 Program consultations with a licensed mental health professionals & get referrals. Employee + Spouse $191.01 Get lost or stolen item recovery or Employee + Child(ren) $176.68 Travel replacement and medical assistance, Assistance including emergency medical Family $272.19 transportation, when traveling within the U.S. or internationally. MEDICAL –BCBS PPO Will & Employees can access ARAG’s free online Employee $98.72 Legal resources to create a will, healthcare Document power of attorney, durable power of Employee + Spouse $197.43 Center attorney, living will, and medical treatment authorization for minors. Employee + Child(ren) $176.68 ABC PERKS Family $281.34 ABC DENTAL ABC will match up to $250 annually of Employee $6.75 Charitable an employee’s eligible charitable Contributions contribution to a qualified nonprofit Employee + One $12.16 organization/group of organizations. Family $16.89 Each covered employee is eligible for VISION Professional $500 of support for professional Development development annually to enrich and Employee $0.88 further their growth. Employee + Spouse $1.61 Each employee is eligible for one Short-Term short-term loan for up to $1,000 every Employee + Child(ren) $1.88 Loan 5 years. Repayment is expected within 3 months or prior to the employee’s Family $2.80 leave date.
ABC Company Sectioned Benefit Summary Page 1