12 / 22
2017 EXPAT BENEFITS
GUIDE
10
DENTAL PLAN CONTRIBUTION RATES
The following chart shows the 2017 monthly contributions for dental coverage. Remember, your contributions
for dental coverage are deducted from your pay on a pre-tax basis.
Aetna International Program — Dental Coverage
Your Contributions
Company Contributions
Total
Employee Only
$ 19.93
$ 19.93
$ 39.86
Employee + Spouse
$ 38.88
$ 38.88
$ 77.76
Employee + Child(ren)
$ 46.04
$ 46.04
$ 92.08
Employee + Family
$ 64.98
$ 64.98
$129.96
Flexible Spending Accounts
If you’re currently participating in a Health Care or Dependent
Care Flexible Spending Account, you’ll be able to keep your
accounts active. However, you will no longer be able to use
your Health Care FSA debit card.
•
When you enroll in the HCFSA, you are defaulted into the
streamline reimbursement option. PayFlex will automatically
reimburse you for eligible expenses.
– To set up Direct Deposit, or make changes to current Direct
Deposit information, log on to
www.aetnanavigator.com.
Under “Coverage and Costs,” click on “FSA Balances.” On
the left-side menu, choose “My Accounts & Services” and
then select “Enroll in Direct Deposit.”
•
If you elected non-streamlined reimbursement, you will have to
submit a claim form (available on
www.mycpchembenefits.com)
to receive a reimbursement from PayFlex.
For more details on Flexible Spending Accounts, such as what
types of expenses are reimbursable, see the Flexible Spending
Accounts Summary Plan Description at
www.mycpchembenefits. com/benefit-handbooks.