COSTS AND CONTACTS CAMUNDA BENEFIT WHO PAYS? EMPLOYEE COST PER PAY PERIOD MEMBER SERVICES ONLINE PORTAL Employee $41.70 MEDICAL - BCBS PPO HRA Employee+ Spouse $125.09 Employee + Child(ren) $112.25 Camunda & you share the cost of Family $252.23 your monthly medical premiums Employee $0.00 MEDICAL - BCBS PPO HSA Employee + Spouse $0.00 (800) 262-2583 Blue Cross Blue Shield Member Portal Employee + Child(ren) $0.00 Family $0.00 Employee $0.25 DENTAL- BCBS PPO Camunda & you share the cost of Employee + Spouse $5.75 your monthly dental premiums Employee + Child(ren) $6.00 Family $13.50 Employee $3.30 VISION – VSP You cover the cost of your monthly vision Employee + Spouse $5.27 (800) 877-7195 VSP Member Portal premiums Employee + Child(ren) $5.38 Family $8.68 HEALTH EQUITY FLEXIBLE You are the sole contributor to SPENDING / DEP CARE your FSA & Dep Care Account Eligible Employees Varied ACCOUNT Employee $1,750 HEALTH EQUITY HEALTH Camunda is the sole contributor to your Employee+ Spouse $3,500 REIMBURSMENT ACCOUNT HRA accounts Employee + Child(ren) $3,500 (866) 346-5800 Health Equity Member Portal Family $3,500 Camunda contributes to your HSA Employee $2,000 HEALTH EQUITY HEALTH annually, Employee+ Spouse $4,000 SAVINGS ACCOUNT you may contribute as well Employee + Child(ren) $4,000 Family $4,000 SUNLIFE BASIC LIFE & Camunda pays 100% of your Basic Eligible Employees $0 DISABILITY Life and AD&D/ Disability Premiums (800) 786-5433 SunLife Portal SUNLIFE VOLUNTARY LIFE & You pay 100% of your Voluntary Eligible Employees Varies by age AD&D Life and AD&D premiums 4 // 2022 Employee Benefit Guide