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Capps Insurance Agency Recommendations for the City of Paris <br /> Option 1 <br /> <br />Fully-Insured Medical, Dental, Life, Vision & LTD <br />With Voluntary Long Term Care Option <br /> <br />Medical Humana $414.25 $61.00 $150.00 <br />Dental Humana 18.19 16.90 22.76 <br />Life <br /> <br />AD&D <br /> <br />Dependent <br />Life <br /> <br />Ft. Dearborn <br />(.18/$1,000) <br />Ft. Dearbom <br />(.03/$1,000) <br /> <br />Ft. Dearborn <br /> <br />Retiree Life Ft. Dearborn <br />Vision Guardian <br /> <br />2.70 <br /> <br />$240.00 <br /> 40.31 <br /> <br /> .45 <br /> <br />7.25 5.20 4.96 12.45 <br />7.16' <br /> <br />LTD * Mutual of <br /> Omaha <br /> <br /> Total $450 $83.10 $177.96 $292.76 <br /> <br /> I Optional Long[ I Rates vary as to age & are medically <br /> Term Care Unum $7.85 underwritten <br /> <br /> FULLY INSURED RATES ARE FIRM <br /> <br /> Medical Plan - $500 deductible, 80/50 coinsurance; $2,000 OOP; 10/25/45/25% RX <br /> <br />· Dental Plan - $50 deductible (waived on Preventative); 100/80/50 coinsurance; $1,000 annual max; Ortho not <br /> quoted, but available. <br /> <br />· Life - $15,000 active employees, $5,000 retired employees; (See Reduction features & Buy-Up rates for <br /> Voluntary Life in Proposal) <br /> <br />· AD&D - $15,000 active employees, $0 retired employees <br /> <br />· Vision - Plan B; 12/12/24 (Exam everyl2 months, Lenses every 12 months, Frames every 24 months) <br /> <br />· Long Term Disability- Per specifications, rates vary with payroll. <br /> CAPPS AGENCY CAN ASSUME CURRENT LTD PLAN WITH UNUM <br /> <br /> <br />