Transcript US Benefit Review 2012

US Benefit Review 2012
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Benefit Eligibility
 If you are a full-time, active
Amdocs employee who is
regularly scheduled to work at
least 30 hours per week, you
are eligible for coverage
under the Amdocs’ group
benefits program.
 You have 31-days from your
date of hire to enroll into the
benefit programs.
 Enrollment is not automatic
2
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Dependent Eligibility
You can also choose coverage for your eligible
dependents. Eligible members of your family include:




Your spouse
Your eligible children
Your children who are physically or mentally disabled
Your domestic partner and their eligible dependents
Children are eligible up to the age of 26 regardless of
student or marital status
 Child cannot be eligible for another employer sponsored
plan
 Does not apply to dependents of the child (spouse or child)
 Cost – will not be treated differently than other eligible
dependent children
You must provide the Social Security Number (SSN) for all eligible dependent
enrolled in the Amdocs benefit plans
3
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Domestic Partner Coverage
Amdocs offers insurance coverage for Domestic Partners and eligible children of
the domestic partner.
Eligible Domestic Partners include:
 Same sex partners
 Opposite sex partners when one partner is at
least over the age of 62
 Eligible Domestic Partner Children



4
A Declaration will need to be completed by both the employee and Partner, confirming that eligibility
criteria has been met. The form will be sent once elections have been updates in Benefits Self
Service
Employee contribution rates for the additional coverage will be taken from each paycheck on a posttax basis. This deduction will be in addition to current pre-tax deductions for each coverage type that
is selected.
For tax reasons, the dollar value for the health, dental and vision coverage will be treated as taxable
income for the taxable income for these benefits is subject to withholdings for Federal income tax,
State income tax as well as FICA. Payroll will withhold the appropriate POST-Tax deduction for each
pay period. The taxable income will be reported on the W2 issued to the employee for the years in
which the coverage is provided.
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Impact of Health Care Reform
Grandfathered Status Statement

The Amdocs Medical Plan believes the Amdocs Medical Plan is a “grandfathered
health plan” under the Patient Protection and Affordable Care Act (the Affordable Care
Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve
certain basic health coverage that was already in effect when that law was enacted.
Being a grandfathered health plan means that your plan may not include certain
consumer protections of the Affordable Care Act that apply to other plans, for example,
the requirement for the provision of preventive health services without any cost sharing.
However, grandfathered health plans must comply with certain other consumer
protections in the Affordable Care Act, for example, the elimination of lifetime limits on
benefits

Questions regarding which protections apply and which protections do not apply to a
grandfathered health plan and what might cause a plan to change from grandfathered
health plan status can be directed to the plan administrator at St. Louis Benefits
Department at 1-866-426-8003. You may also contact the Employee Benefits Security
Administration, U.S. Department of Labor at 1-866-444-3272 or
www.dol.gov/ebsa/healthreform. This website has a table summarizing which
protections do and do not apply to grandfathered health plans
5
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Medical Plan Options
Plan Administrator is CIGNA Healthcare www.cigna.com.
Eligibility begins on date of hire
You will have two options for coverage:
 POS – Point of Service Plan
 PPO – Preferred Provider Organization
6
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Point of Service (POS) Plan
No Annual Deductible for In-Network Services
Must select Primary Care Physician (PCP)
 Doctor’s Visit - $15 co-pay
 Preventative visits to your primary care physician will be 100% covered. No
doctor visit co-payment will be required. Examples of preventative visits
include: Well Child Pediatrician Visits, Annual Physicals, Annual Well Women
Visits, mammograms and PSA Screenings
 Urgent Care Facility - $30 co-pay
 Emergency Room - $75 co-pay, which is waived if admitted
 Outpatient Surgical Facility – $40 co-pay
 Other outpatient services – paid at 100%
 Inpatient Hospital Service – $150 co-pay per admission
 Lifetime maximum benefit is unlimited
7
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Preferred Provider Organization (PPO) Plan
 No need to select Primary Care Physician
 MUST meet annual deductible before plan will pay
any expenses
Annual Deductible
In-Network
Annual Out of Pocket
Limit
In-Network
Employee
$300
$600
Employee + 1
$600
$900
Family
$900
$1200
 Preventive Services including annual physicals, mammograms, PSAs
 In-network - paid at 100% - no deductible
 Doctor’s Visit (non-preventive services)
 In Network - Pays 80% after deductible
 Hospital Services (inpatient or outpatient) and Emergency Room
 In Network - Pays 80% after deductible
8
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Medical Out of Network Coverage
If you go outside of the CIGNA network for coverage:
 POS and PPO Out of Network Benefits
 Plan pays 70% after employee deductible
and is subject to usual and customary rates
Employee
Employee + 1
Family
Employee
Employee + 1
Family
9
Annual Deductible
Out of Network
$ 600
$ 900
$1,200
Annual Out of Pocket Limit
Out of Network
$1,200
$2,400
$3,600
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Prescription Coverage
Prescription Coverage under both the POS and PPO Plans
 In Network (30 day supply)

Plan pays 100% after $5 co-pay for generic, or $20 preferred brand, or 30% for non-preferred
brand (minimum co-pay $35, maximum $70) (subject to limitations)
 Mail Order (90-day supply)
 Plan pays 100% after $10 co-pay for generic, $40 preferred brand, or 30% for non-preferred
(minimum co-pay $70, maximum $140)
 Out of Network
 Plan pays 70% after deductible has been met
Save money on your prescriptions by converting your
preventative medications to mail order!
Generic Preventative Prescriptions: Available to you at $0
Preferred Brand Name Preventative Prescriptions: order a 3-month supply for the cost of a
1-month supply! (that’s 2 months free!)
*To find out if your current prescription is considered Preventative and what class it would fall under please contact
CIGNA at 1-800-CIGNA-24.
10
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Step Therapy
How does it work?
Step Therapy requires that generic &
preferred brand equivalent medications
are used before the non-preferred brand
medication will be covered.
When you fill a prescription for a Step
Therapy medication, you and your
physician will receive a letter explaining
what steps need to be followed to comply.
 This will include trying a lower cost alternative
(generic or preferred brand) or
 Seeking authorization from CIGNA for
continued coverage of the original medication
for medical reasons
11
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Step Therapy
How will Prescriptions Be Impacted?
 When you receive a new prescription that falls
into the Step Therapy Program, you will be able
to fill the prescription for 90 days. There are 14
drug classes which fall under the Step Therapy
Drug Program
 CIGNA will notify you and your doctor of the Step
Therapy Process
 After 90 days you will be required to refill your
prescription with a generic or preferred brand
equivalent. At any time, your physician can
request authorization to continue coverage for a
Step Therapy medication for medical reasons
 Step Therapy protocol must be followed before
the non-preferred prescription will be refilled
12
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
What is the difference between POS & PPO?
Service
POS
PPO
Select a Primary Care
Physician (PCP)
Yes
No
Referral to Specialist
Yes
No
$15 co-pay
80% after deductible
$150 co-pay
per admission
80% after deductible
Outpatient Surgery
$40 co-pay
80% after deductible
Emergency Room
$75 co-pay
80% after deductible
Office visits and
preventive screenings
covered at 100%
Office visits and
preventive screenings
covered at 100%
Doctor’s visit
Inpatient Hospital Services
Preventive Services
13
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
In POS, the doctor
works directly with
CIGNA to get
referral/authorization
Dental Plan Options
Plan Administrator is CIGNA Dental www.cigna.com
Eligibility begins on date of hire
Employee may choose a provider from:
 CIGNA Core Network
 CIGNA Radius Network
 Non-Contracted (out of network) provider
Annual Deductible:

$50 for individual

$150 for family
14
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Dental Plan
Benefit
CIGNA Core or Radius
Networks
Out-of-Network
Preventative
100%
100%
Basic Services
85%
85%
Major Services
50%
50%
Orthodontics
50%
50%
UCR Protection
Protection from amounts over usual
and customary charges
NO protection from amounts over usual
and customary charges
Examples of Preventive Services are:

Oral Exam (limit to 2x per year)

Bitewing X-rays (not more than 2x per year)

Prophylaxis (limited to 2 treatments per year)
If you choose a Non-Contracted provider employee may have to file
claim for reimbursement. Claims will be subject to usual & customary
rates.
15
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Dental Plan (cont.)
 Orthodontic Treatment




Plan pays 50% after deductible
$1,000 Maximum lifetime benefit
Covers children up to age 19
Treatment in progress will not be covered

$1,500 annual maximum benefit for other than orthodontic treatment

Wellness Plus Program – If participants get 2 routine exams/cleanings per
year their annual maximum benefit will increase by $100 for the following
calendar year, up to a maximum of $1800
16
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Vision Plan Options
Plan Administrator is Davis Vision: www.davisvision.com or
1-800-999-5431
Eligibility begins on date of hire
Two options for coverage are available:
Basic Vision Plan – no cost to employee
 Voluntary Vision Plan – employee pays premium cost

Frequency of Visits:


Once ever 12 months (from last date of service
Plan pays for either lenses & frames or contacts
once in a 12 month period
Out of network coverage is available.
Benefits are paid at a lesser rate.
17
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Basic Vision Plan
Basic Vision Plan In-Network Benefits
Services
Eye Exam
Glasses
Standard Frames
-Priced up to $70 Retail
-Priced above $70 Retail
Standard Lenses
Contact Lenses
Contact Lens Evaluation
Conventional
Disposable/Planned Replacement
18
Co-pay
Patient Price
$10
$0.00 after co-pay
Co-pay
Patient Price
Fee based on cost of frame
Varies by cost of frame
Fee based on cost of
frame
Varies by type of lens
Co-pay
Patient Price
n/a
15% off Usual & Customary charges
n/a
20% off Usual & Customary charges
n/a
10% off Usual & Customary charges
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Voluntary Vision Plan
Voluntary Vision Plan In-Network Benefits
Services
Eye Exam
Glasses
Co-pay
Patient Price
$10
$0.00 after co-pay
Co-pay
Patient Price
n/a
Up to $130 PLUS 20% discount for amount over
$130
$25
$0.00
Co-pay
Patient Price
$25.00
n/a
n/a
Up to $130 PLUS 15% discount for amount over
$130
n/a
$0.00 (up to 4 boxes)
Frame Allowance
Standard Lenses
Contact Lenses
Contact Lens Evaluation
Conventional
Disposable/Planned Replacement
19
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Additional Benefit Programs
20
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Life Insurance
Life Insurance - Administered by MetLife


Eligibility begins date of hire
Basic (employer provided)

Employee only coverage equal to 1.5x annual base salary, up to $1 million
Optional (employee paid) – can elect coverage for employee, spouse
or children. *Guarantee issue applies only when coverage is first
offered

Employee - may choose from $75,000 to $1,000,000 in additional coverage.
Guaranteed issue of $300,000*. If you elect over $300,000 in additional
coverage, evidence of insurability will be required. Maximum level of coverage $1 Million.

Spouse - may choose $10,000 increments up to $100,000. Guaranteed issue of
$30,000*. If elect over $30,000, evidence of insurability will be required.

Child(ren) - may elect $5,000 or $10,000 coverage per child age 2 weeks to 19
years (age 25 if full time student). Child coverage covers all children.

The cost of employee and spousal optional life coverage will increase as the
employee ages. Additional information can be found in the appendix.
Please note that if your spouse also works for Amdocs you may not carry spousal Optional Life Insurance on each
other. Children of Amdocs employees may only be covered by one parent for Optional Life Insurance.
21
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Accidental Death & Dismemberment
Accidental Death & Dismemberment Insurance

Eligibility begins date of hire

Basic (employer provided)

Employee only coverage equal to 1.5x annual base salary
You may elect Optional Accidental Death &
Dismemberment (employee paid)

Employee – can elect from 1 to 10x salary, up to a maximum of $2
Million

Family – Employee elects from 1 to 10x salary. Spousal benefit is
equal to 50% of employee election. Each child has a benefit of
$10,000 (children age 2 weeks to 19 years - age 25 if full-time
student)

No evidence of insurability required
Please note that if your spouse also works for Amdocs you may not carry Optional Accidental Death & Dismemberment
Insurance on each other. Children of Amdocs employees may only be covered by one parent for Optional Accidental
Death & Dismemberment Insurance.
22
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Disability
Additional benefits provided by Amdocs at no cost – no enrollment required
 Short Term Disability – up to 26 weeks
Starts on 8th calendar day of illness – 2nd day for injury
related to an accident
 Pays 100% of base earnings for the first 11 weeks,
following elimination period
 Pays 70% of base earnings for weeks 13 through 26

 Long Term Disability – Disability that
exceeds 26 weeks

Disability – Administered by
CIGNA Leave Solutions
23
For employees in bands 1-3: pays 60% of base
monthly earnings to a maximum benefit of $5,000 per
month
 For employees in bands 4 & up: pays 60% of base
monthly earnings to a maximum benefit of $10,000 per
month
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Employee Assistance Program
Employee Assistance Program
 Administered by Ceridian LifeBalance®

Free, confidential assistance to support you with all the
issues of daily living
 Counseling (including addiction and recovery)
 Eldercare, childcare
 info on “how to” – lease cars, apartment listings,
general tax information, etc.
 Financial
 Legal
 Health and Wellness
 Contact LifeBalance® at 1-877-510-0556 or go
online to www.lifebalance.net
password: us
24
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
user ID: amdocs
Flexible Spending Accounts (FSA)
Claims Administrator: Conexis
www.conexis.org or 1-866-279-8385
Account Options:
1) Health Care FSA
2) Dependent Care FSA

Enrollment for these plans will start the 1st of the month following your enrollment.
Example: You enroll through Benefits Self Service on January 15th, your benefits are
effective the 1st of February.

Employee Contribution Amounts:
Minimum
25
Maximum
Health Care
$240/year $5,000/year
Dependent Care
$240/year $5,000/year per family
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Flexible Spending Accounts (FSA) cont’d
Health Care FSA
 Benefit – Eligible contributions are deducted from paycheck on
pre-tax basis – placed into a separate account
 Eligible Expenses – Medical, dental and vision expenses not
covered by existing insurance
 Conexis Elite Card – Can be used at point of service to pay
for eligible health care expenses - no need to file paper claims
for reimbursement
Dependent Care FSA
 To Qualify – both spouses must be working full time; or 1
spouse working full-time & 1 spouse a full-time student; or
single parent with primary custody
 Eligible Expenses – those that enable you and your spouse to
work, or enable your spouse to attend school full time
 This includes daycare and before and after school care for
children up to age 13
26
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Grace Period for
Flexible Spending Accounts
 The Flexible Spending Accounts through Conexis
have a grace period for the filing of previous year
claims
 Employees will have until March 15th of the
following year to use the Healthcare & Dependent
care funds remaining in their current year’s
account with Conexis. This grace period extends
the amount of time in which eligible expenses can
be reimbursed to the employee
 “Use it or Lose it” Feature – Employees will
have until March 31st of the following year to file
claims. Unused funds will not be returned to the
employee and may will NOT be carried forward
27
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Transit Reimbursement Account
Claims Administrator is Conexis
www.conexis.org
Member services: 866-279-8385
Options:
Parking Plan –


Maximum Monthly Reimbursement: $240.00
Parking claims must be submitted for
reimbursement within 180 days of the expense
Transit Plan – includes, but not limited to
subway and bus fare. Does not include tolls.


Maximum Monthly Reimbursement: $125.00
Transit passes MUST be ordered through Conexis’
on-line system
 Transit passes not purchased through on-line
system will NOT be reimbursed
 Additional information on eligible expenses is
available from Conexis
28
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Voluntary Benefit Programs
Critical
Illness
Accident
Hospital
Indemnity
29
• Cash benefit paid in a lump sum upon first diagnosis
• Covered conditions include: Heart Attack, Stroke,
Cancer, Major Organ Transplant, End Stage Renal
Failure and Coronary By-pass Surgery
• Has a wellness benefit for annual health screenings
• Family coverage available
• No medical questions – guarantee issue
• Benefit payment based on injury
• Wellness benefit for annual health screenings
• Family coverage is available
• Pre-existing limitations may apply
• No medical questions – guarantee issue
• Covers hospital admission for sickness or injury
• Family coverage is available
• Pre-existing limitations may apply
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Retirement Savings (401k) Plan
Plan Administrator

Prudential Retirement Services
Eligibility

Begins after receipt of first paycheck and you will be able to enroll
approximately 3-5 business days after you have received it
Enrollment

Contact Prudential Retirement at 1-877-PRU-2100 or go on-line at
www.prudential.com/online/retirement to enroll or make changes
Beneficiary Designation forms


30
Located on the new hire website
Participants must complete and return to the St. Louis office
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Retirement Savings Plan (401k)
Plan Contributions
Contributions


Up to 50% of your pay (subject to tax law limits)
2012 employee contribution limit is $17,000 and the
employee compensation limit is $250,000
Company Matching Contribution

0.50 per dollar contributed, up to 6% of your total
eligible compensation . (i.e. If you are putting in 6%
or more into the Amdocs 401k plan the company will
contribute 3%)
Vesting – 20% per full year of employment

100% vested after 5 years of service
Note: If you are contributing to other 401k accounts during the 2012 year it is your responsibility to monitor those
contributions so you do not exceed the 2012 401k limits.
31
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Retirement Savings Plan (401k)
World-Wide Service
Recognition of World-Wide Service
Amdocs is recognizing world wide service with all
Amdocs business groups for vesting purposes in the
401k plan.
 Example, an employee worked for Amdocs Israel for
2 years then transferred to Amdocs US. This
employee would be 40% vested in the 401k plan.
Amdocs will immediately vest an employee at 100% upon
transfer to another Amdocs business group even if they
do not have 5 years of service with Amdocs.
As long as an employee is actively employed in any
business group of Amdocs they can not take a
distribution of their 401k plan or rollover the money into
an IRA of their choice. This means, for example, if any
employee transfers from the US BG to Israel BG their
money must remain in the Amdocs 401k plan.
A distribution or rollover can only be taken if the
employee terminates with ALL Amdocs business groups
or reaches age 59 ½.
32
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Retirement Savings Plan (401k)
Catch-up Contributions
Catch Up Provision





Must be at least 50 years of age (or will
turn 50 in the calendar year) to be eligible
May elect to contribute up to an additional
$5,500 for 2012
Can make Catch Elections online at
www.prudential/retirement/online or by
calling Prudential at 1-877-778-2100
Your catch-up contributions will rollover
from year to year and will be taken at the
same time as your regular employee
contribution
Company will not match Catch Up
contributions
Note: If you are eligible for catch-up contributions you will need to make sure you do not exceed more than
$22,500 between your previous employer’s 401k plan and the Amdocs 401k plan for the 2012 plan year.
33
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Amdocs Benefit Self Service
What is Benefits Self Service?
 A tool that will allow employees to view their benefit
information on-line
 Accessible through the Amdocs Portal or through
Webgate
 Will eliminate the need to complete paper forms to
enroll or make changes to benefit choices
What can employees do in Benefits Self Service?
 Allows employees to
 View their current benefit choices at any time
 Make updates during open enrollment
Make updates if you have a qualifying event
 Examples are
 marriage
 divorce
 birth of a child
 change of employment status for spouse
34
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Employee
Self Service
35
Human
Resources US –
Instructional
Manuals
Available
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Employee
Self Service
Human
Resources US –
Instructional
Manuals
Available
36
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
How Do I Access Benefit Self Service?
To update
dependents
under your profile
My Personal Details
Benefits for US
37
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Questions?
You may open a HR Helpdesk Ticket:
http://helpdesk/client/centers/HR/NA/NewGr
oup.htm
America’s Benefit Department
[email protected]
1-866-426-8003
Thank you for your time!
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Appendix – 2012 Employee Rates
Rates are based on pre-tax deductions each pay period:
Plan
CIGNA POS Plan
CIGNA PPO Plan
CIGNA Dental Plan
Basic Vision Plan
Voluntary Vision Plan
39
Option
Employee Only
2012 Rate
$36.00
Employee + 1
Employee + Family
Employee Only
Employee + 1
Employee + Family
Employee Only
Employee + 1
Employee + Family
Employee Only
Employee + 1
Employee + Family
Employee Only
Employee + 1
$72.50
$112.50
$62.50
$130.00
$212.50
$3.50
$7.50
$12.00
$0.00
$0.00
$0.00
$3.50
$6.00
Employee + Family
$9.00
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Appendix – 2012 Domestic Partner Rates
Coverage
CIGNA POS
CIGNA PPO
CIGNA Dental
Voluntary Vision
Pre-tax
Post-tax
Pre-tax
Post-tax
Pre-tax
Post-tax
Pre-tax
Post-tax
Employee and Domestic Partner or Domestic
Partner child
36.50
36.00
67.50
62.50
4.00
3.50
2.50
3.50
Employee + Domestic Partner and 1 Domestic
Partner child
40.50
72.00
87.50
125.00
5.00
7.00
2.00
7.00
Employee + Domestic Partner and 2 Domestic
Partner Children
4.50
108.00
25.00
187.50
1.50
10.50
0.00
9.00
Employee + Domestic Partner and 3 or more
Domestic Partner Children
0.00
112.50
0.00
212.50
0.00
12.00
0.00
9.00
Employee + 1 and Domestic Partner or Domestic
Partner child
76.50
36.00
150.00
62.50
8.50
3.50
5.50
3.50
Employee + 1 and Domestic Partner and 1
Domestic Partner Child
40.50
72.00
87.50
125.00
5.00
7.00
2.00
7.00
Employee + 1 and Domestic Partner and 2
Domestic Partner Children
4.50
108.00
25.00
187.50
1.50
10.50
0.00
9.00
Employee + 1 and Domestic Partner and 3
Domestic Partner Children or more
0.00
112.50
0.00
212.50
0.00
12.00
0.00
9.00
Employee + Family and Domestic Partner or
Domestic Partner child(ren)
76.50
36.00
150.00
62.50
8.50
3.50
5.50
3.50
Employee + Family and Domestic Partner and 1
Domestic Partner child
40.50
72.00
87.50
125.00
5.00
7.00
2.00
7.00
Employee + Family and Domestic Partner and 2
Domestic Partner children
4.50
108.00
25.00
187.50
1.50
10.50
0.00
9.00
Employee + Family and Domestic Partner and 3
Domestic Partner children or more
0.00
112.50
0.00
212.50
0.00
12.00
0.00
9.00
40
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Appendix – Optional Life Insurance




Rates per $1000 of coverage
Rates based on employee’s date of birth
Divide by 2 to get cost each paycheck
Child coverage is $1.00 per month for
each $5,000 of coverage
Age
Rate
Age
Rate
< 30
0.06
30 to 34
0.07
35 to 39
0.11
40 to 44
0.17
40 to 49
0.27
50 to 54
0.44
54 to 59
0.72
60 to 64
0.95
65 to 69
1.47
70 +
2.63
41
Optional Life Insurances rates for both Employee
and Spouse will increase as the employee crosses
into the next age band in the chart. The increase will
take effect as of January 1st of the following calendar
year after crossing into the next age band , or if a
qualifying event occurs prior to January 1st.
Examples of a qualifying event would include a
salary change, marriage, divorce, or birth of a child.
In which case, the increase would take effect as of
the date of the qualifying event.
The Optional Life Insurance offered through MetLife
is a Term Life Policy. Term life insurance, as an
employee benefit ,works differently than in the
individual life insurance market. In the individual
market a person will pay premium for a set term and
at the end of the term the insurance typically goes
away. In the group world, the "term" would be as
long as the employee is employed at this employer
and is electing to pay premium. Since the rates are
presented in 5 year age bands, the premium
increases as a person ages.
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Appendix – Optional AD&D Rates
 Rates per $1000 of coverage
Coverage
Rate
Employee Only
0.023 per $1000 of coverage elected
Family
0.038 per $1000 of coverage elected
 Divide by 2 to get per paycheck amount
42
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs
Appendix – Voluntary Plan Rates
Rates based on each pay period
Coverage
Rate
Critical Illness
Based on age and amount of coverage
Accident
Employee
$6.48
Emp + Spouse
$9.97
Emp + Child(ren)
$13.46
Family
$16.94
Employee
$15.30
Emp + Spouse
$31.57
Emp + Child(ren)
$21.06
Family
$37.31
Hospital Indemnity
43
Information Security Level 1 – Confidential
© 2012 – Proprietary and Confidential Information of Amdocs