2017-18 DPS Benefits Enrollment Guide

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CONSIDER YOUR VOLUNTARY OPTIONS Add on the extras that make sense for you and your family.

As a DPS employee, you have access to voluntary options to manage your health, your way. You can choose to select dental or vision insurance, and Metlife voluntary benefits plans. You can also choose to contribute to a Health Savings Account (HSA) or Flexible Spending Account (FSA). Some employees may also be eligible to enroll in the Sick Leave Bank. See below for more information on these voluntary options:

Dental Insurance DPS offers two dental insurance plan options through Delta Dental of Colorado. Visit www.deltadentalco.com to locate a Delta Dental Network Provider near you.

Dental Plan Costs Per Month The amount you pay for coverage can be deducted from your paycheck on either a pre-tax or post-tax basis. COVERAGE LEVEL

DELTA DENTAL EPO

DELTA DENTAL PPO + PREMIER

EMPLOYEE ONLY

$28.86

$35.97

EMPLOYEE AND SPOUSE

$58.23

$69.06

EMPLOYEE AND CHILD(REN)

$71.32

$97.90

EMPLOYEE AND FAMILY

$100.67

$131.06

Vision Insurance DPS offers a vision insurance plan through VSP. You have the freedom to choose any vision provider. However, you will maximize the plan benefits when you choose a VSP network provider. If you choose an out-of-network provider, you may be responsible for paying in full at the time of service and submitting a claim to VSP for reimbursement. To locate a VSP network provider, go to www.vsp.com (Choice Network).

DPS HUMAN RESOURCES | THECOMMONS.DPSK12.ORG/BENEFITS | 720-423-3900

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