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City of Cocoa I Employee Benefit Highlights 12020-2021 <br /> Voluntary Supplemental lementalInsurance <br /> Aflac offers a variety of voluntary supplemental insurance plans that may be purchased separately on a voluntary basis and premiums are paid by payroll deduction. <br /> During Open Enrollment for the 2020-2021 plan year Aflac will provide information on the following group supplemental products that provide cash benefits when <br /> employee or covered family member(s)become sick or injured. <br /> ✓ Accident Indemnity Plan <br /> ✓ Specified Critical Illness Plans(including Cancer,Stroke,and Heart Attack) <br /> ✓ Hospital Indemnity Plan <br /> 2020-2021 Aflac <br /> 24 Bi-Weekly Premium Deductions <br /> Pre Tax Payroll Deductions <br /> Employee Employee+ Employee+ <br /> Plan Coverage Age Family <br /> Only Spouse Child(ren) <br /> • <br /> Accident Indemnity Plan <br /> 24-Hour coverage on and off the job.Wellness 18+ $9.59 $14.43 $16.79 $21.63 <br /> $50 per covered person per calendar year payable <br /> after 12-months of coverage. <br /> Hospital Indemnity <br /> Inpatient, outpatient benefits, and physician 18-64 $27.74 $54.09 $48.54 $74.89 <br /> visits. • <br /> IAfter Tax Payroll Deductions 1 <br /> Specified Critical Illness Age $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 <br /> Employee Uni-Rate <br /> 18-29 $5.96 $8.66 $11.36 $14.06 $16.76 $19.46 $22.16 $24.86 $27.56 <br /> $20K EE Guaranteed Issued including Cancer. <br /> 30-39 $5.96 $8.66 $11.36 $14.06 $16.76 $19.46 $22.16 $24.86 $27.56 <br /> Dependent child(ren) is automatically covered 40-49 $1136 $16.76 $22.16 $27.56 $32.96 $38.36 $43.76 $49.16 $54.56 <br /> @25%of the primary insured amount.Wellness 50-54 $16.45 $24.28 $32.10 $39.93 $47.75 $55.58 $63.40 $71.23 $79.05 <br /> $50 per covered EE&spouse annually after 30- 55-59 $22.05 $32.68 $43.30 $53.93 $64.55 $75.18 $85.80 $96.43 $107.05 <br /> days of coverage. 60-64 $30.55 $45.43 $60.30 $75.18 $90.05 $104.93 $119.80 $134.68 $149.55 <br /> 65-69 $33.25 $49.48 $65.70 $81.93 $98.15 $114.38 $130.60 $146.83 $163.05 <br /> After Tax Payroll Deductions -� <br /> Specified Critical Illness Age $5,000 $7,500 $10,000 $12,500 $15,000 $17,500 $20,000 $22,500 $25,000 <br /> Spouse Uni-Rate <br /> } 18-29 $3.26 $4.61 $5.96 $7.31 $8.66 $10.01 $11.36 $12.71 $14.06 <br /> i 30-39 $3.26 $4.61 $5.96 $731 $8.66 $10.01 $11.36 $12.71 $14.06 <br /> $10KSpouse Guaranteed Issued including Cancer. 40-49 $5.96 $8.66 $11.36 $14.06 $16.76 $19.46 $22.16 $24.86 $27.56 <br /> Wellness$50 per covered EE&spouse annually 50-54 $8.63 $12.54 $16.45 $2036 $24.28 $28.19 $32.10 $36.01 $39.93 <br /> after 30-days of coverage. 55-59 $11.43 $16.74 $22.05 $2736 $32.68 $37.99 $43.30 $48.61 $53.93 <br /> 60-64 $15.68 $23.11 $30.55 $37.99 $45.43 $52.86 $60.30 $67.74 $75.18 <br /> 65-69 $17.03 $25.14 $33.25 $41.36 $49.48 $57.59 $65.70 $73.81 $81.93 <br /> • <br /> Aflac I Customer Service:(800)433-3036 1 www.aflac.com <br /> Agent:Margaret Pearson I Phone:(561)881-19641 Email:margaret_pearson@us.aflac.com <br /> 27 <br /> 19 <br /> ©2016,Gehring Group,Inc.,All Rights Reserved <br />