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Details: Your health assessment is protected by the same laws that protect your medical records. We don’t share your personal health assessment results with your employer. Your employer only receives a summary report that outlines the health status of all participants together as a

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S T Change in Family Status I F E N E E B S T I F E N E B

Details: health plans. If you acquire new step children, they may be added also. Drop or decrease your health plan coverage if you or any dependent(s) become covered by your spouse’s health plan. If you are adding coverage, you can change which health plan you are enrolled under. • Increase/start, or decrease/stop contributions to medical flex if

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Address Label interest: Open Enrollment

Details: Health FSA The Metropolitan Council health flexible spending account is used to pay for health expenses not paid for by insurance, such as deductibles, copayments, and coinsurance for the employee's health plan, also such expenses as dental and vision expenses. All items must be intended to treat or prevent a specific medi-cal condition.

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2014 Benefit Summary: American Federation of State, County

Details: Health care savings plan Post employment healthcare savings plan Employees will contribute 0.25% of salary per pay period to the HCSP. Upon termination, any accumulated and unused annual leave balance will be contributed to the HealthCare Savings Plan based on the following table: 1 to10 years of service= 0% 10 to 20 years of service = 50%

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2014 Benefit Summary: Amalgamated Transit Union (ATU)

Details: (high deductible health plan with VEBA account) •HealthPartners Distinctions III Plan (3 tier copay plan) Employee medical premiums (monthly, pre-tax) Full-time employees: Open Access: Single $16.92 Family $317.58 HRA: Single $0 Family $47.96 Distinctions III: Single: $0 Family: $108.40

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