Employee Cost Effective: January 1, 2027 Medical *Please Note: The employee rates below include Heartland Utility’s employer contribution of $67.36 per week. | B730ADT $7,850 | G8K6ADT $2,400 | | Weekly Deductions | HDHP – Bronze Plan | PPO – Silver Plan | | Employee Only | $67.36 | $106.96 | | Employee & Spouse | $202.08 | $281.28 | | Employee & Child(ren) | $202.08 | $281.28 | | Family | $336.81 | $455.60 | Dental & Vision | Weekly Deductions | Dental PPO | Vision | | Employee Only | $8.20 | $1.63 | | Employee & Spouse | $16.19 | $3.25 | | Employee & Child(ren) | $24.64 | $3.62 | | Family | $36.09 | $5.68 | Accident & Hospital Indemnity | Weekly Deductions | Accident | Hospital Indemnity | | Employee Only | $3.73 | $4.89 | | Employee & Spouse | $6.57 | $14.40 | | Employee & Child(ren) | $7.89 | $8.29 | | Family | $10.73 | $17.80 | Life and Disability Benefits Short Term Long Term Group Life Weekly Disability Disability Deductions 100% employer 100% employer 100% employer Employee paid paid paid 22

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