Your Total Compensation Statement for ... - Insight e-Tools

January 21, 2018 JOHN SMITH123 MAIN STREETSUNNYSIDE, CA 12345 your Total Compensation Statement for 2017 Pay &BenefitsYourContributionCompanyContribu tionCash CompensationRegular Pay$ $45, $ $7, $ $ $ $ Leave$ $1, $ $3, Cash Compensation $ $ Cash Compensation $ $58, BenefitsMedical$5, $7, $1, $ $ $ Health$ $ $ $ Health Benefits$7, $7, ProtectionLife Insurance$ $ Disability$ $ Unemployment$ $ Unemployment Insurance$ $ Income Protection$ $ Benefits$ $ $2, $2, $ $ $2, $2, $1, $ $8, $6, SecurityOt her Government Benefit 401(k)PensionTotal Retirement Benefits 2016 Total Compensation $15, $73, John,As a valued employee, Business Example Inc. is pleased to present you with your personalized Total Compensation Statement for 2017.

Insight e-Tools contributed to each participant's HSA account. Dental Benefits In-network preventative care is paid at 100%; basic restorative is covered at 90%; and major restorative at 60%. Vision Benefits Full service plan with generous in-network allowances for frames and contact lenses. Low in-network co-pays: $10 for exams and $10 for ...

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