Benefits Enrollment | Fixed Ops Digital

Blue Cross Blue Shield Health Insurance

Fixed Ops Digital pays 66% percentage of the total health insurance cost for the employee.
We currently offer two (2) premium packages and the rate tables are listed below.

Your health insurance coverage is deducted "Pre-Tax" which is a huge benefit on your pay.

G506OPT Blue Options Gold PPOSM 101 | Best Plan - lower deductible and co-pays
S506OPT Blue Options Silver PPOSM 104 | Great Plan - slightly higher deductible and co-pays but lower initial cost

Health Insurance Enrollment Option:(Required)

Yes, I would like to enroll in Health Insurance coverage for myself and/or my family / significant other

No, I decline to participate

Choose Coverage

G506OPT Blue Options Gold PPOSM 101

S506OPT Blue Options Silver PPOSM 104

Choose a Gold Plan

Employee (EO) $158.59 per month

Employee + Spouse (ES) $625.03 per month

Employee + Child (EC) $555.06 per month

Employee + Family (EF) $1,021.50 per month

Choose a Silver Plan

Employee (EO) $137.46 per month

Employee + Spouse (ES) $541.75 per month

Employee + Child (EC) $481.11 per month

Employee + Family (EF) $885.40 per month

Signature

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I, undersign, have elected these coverages and agree to all the costs associated with them.

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Blue Cross Blue Shield Health Insurance

Met Life Dental Insurance

Met Life Vision Insurance

Life Insurance via Met Life

401k via American Funds

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