1. Benefits Overview

2. FlexRN Medical Coverage Comparisons
PLAN HIGHLIGHTS
CIGNA BRONZE OPTION
CIGNA SILVER OPTION
CIGNA GOLD OPTION
Annual Deductible
Individual: $4,000/year
Family: $8,000/year
Individual: $2,500/year
Family: $5,000/year
Individual: $1,000/year
Family: $2,000/year
Annual Out of Pocket Max
(INCUDES COPAYS & CO-INSURANCE)
Member Co-Insurance
Individual: $6,350/year Family: $12,700/year
70%
Individual: $4,000/year Family: $8,000/year
80%
90%
Office Visits / Labs
Primary Care Physician Office Visit
Specialist office visit
Maternity/OB Visits
Diagnostic Lab
$30 Copay Deductible 30% $30 Copay
Deductible 30%
$25 Copay $50 Copay $25 Copay
Deductible then 20%
Deductible then 10%
Preventive Care Services
Routine Adult Physicals/Immunizations
Well Child Exams/Immunizations
Routing Gynecological Exams
Routine Mammograms
$0 Copay
Urgent Care/Emergency Care/Hospitalization
Urgent Care Provider
Emergency Room
Hospital Inpatient Stay
Outpatient Surgery
$50 Copay
$150 Copay (waived if admitted)
30% up to out of pocket max of $6,350
30% up to out of pocket max of $12,700
20% up to out of pocket max of $4,000
20% up to out of pocket max of $8,000
10% up to out of pocket max of $4,000
10% up to out of pocket max of $8,000
Prescription Drug Program
Generic Medication
Brand Medication
Non Formulary Medication
$20
$40
$60
$10
$35

3. FlexRN Dental Benefits
PLAN HIGHLIGHTS
METLIFE DENTAL PPO
Network
In Network
Out Of Network
Annual Deductible
Individual: $50/year
Family: $150/year
Calendar Year Maximum Per Member
Lifetime Ortho Maximum Per Member
(under the age of 19)
$1,750
$1,500
Type A – Diagnostic / Preventative Care
Cleanings
Fluoride Treatments
Sealants
X-Rays
100% Covered
90% Covered
Type B – Basic Dental Care
Filings
Simple Extractions
Oral Surgery
Root Canal Therapy
80% Covered
70% Covered
Type C – Major Dental Care
Crowns
Implants
Dentures
Bridges
50% Covered

4. FlexRN Vision Benefits
PLAN HIGHLIGHTS
In Network
Network
Annual Exam
$10 Copay
Frame
$25 Copay
$130 Frame Allowance
Lenses
$55, $95, $150 Frame Allowance
Contact Lenses
$25
$130 Allowance

5. FlexRN Voluntary Benefits
PLAN HIGHLIGHTS
MetLife Voluntary Benefits
Life Insurance
Increments of $10,000 may be purchased up to a maximum of 5 times your annual earnings or $100,000.
Life benefits may also be purchased for your spouse and child(ren).
Short Term Disability
Maximum benefit amount is 60% of your gross weekly earnings up to $1,000 per week. Benefits begin after 0 days for an injury and 7 days for a sickness (including pregnancy).
Long Term Disability
Maximum monthly benefit is 60% of pre-disability earnings up to $6,000 per month. Benefits begin after 90 days of a disability.

6. 2017-2018 Employee Premium Contribution
 PLAN
EMPLOYEE ONLY
EMPLOYEE & SPOUSE
EMPLOYEE & CHILD(REN)
EMPLOYEE & FAMILY
CIGNA BRONZE OPTION
$50.37
$208.71
$263.52
$442.71
CIGNA SILVER OPTION
$68.41
$250.37
$313.83
$520.15
CIGNA GOLD OPTION
$76.90
$270.50
$337.52
$556.61
METLIFE DENTAL
$9.06
$18.03
$22.10
$33.51
VSP VISION
$1.76
$2.96
$3.02
$4.87
The rates listed above include FlexRN’s contribution.

7. FlexRN Benefits
The items included in this document are just a brief overview of the benefits that we offer. We also offer the following options:
401K Retirement Plan
Life Insurance
Long/Short Term Disability
Educational Reimbursements
Minimum requirement in order to qualify for benefits and maintain eligibility is 30hrs/week or 130hrs/month
For Detailed medical and dental plan information, please contact the plan carrier directly

8. Benefit Contact Information
Cigna
Member Services……………………………………………………..……… ………
MetLife Dental
Member Services……………………………………………………………………
MetLife
Member Services…………………………………………….…………………………….…………
VSP
Member Services……………………………………………………………………………….……
FlexRN Benefits Department
Tiffany Washington/Tenisha Hudson……………………………………………......……
Benefit Administration – The Capital Group, LLC
Doug Gray…………………………………………….…………………………