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COST OF COVERAGE

COST OF COVERAGE

Medical (Monthly)

January 1, 2025 – December 31, 2025

For more information about Domestic Partner (DP) rates, view the Domestic Partner After Tax Contributions and Imputed Income resource.

  Total CostEmployer CostEmployee Cost
Cigna OAP 750 Rate   
 Employee Only$1,029.50$874.50$155.00
 Employee and Spouse$2,264.92$1,864.92$400.00
 Employee and Child(ren)$1,853.11$1,523.11$330.00
 Employee and Family$3,191.47$2,656.47$535.00
  Total CostEmployer CostEmployee Cost
Cigna HDHP Rate   
 Employee Only$850.53$762.53$88.00
 Employee and Spouse$1,871.16$1,621.16$250.00
 Employee and Child(ren)$1,530.96$1,345.96$185.00
 Employee and Family$2,636.65$2,316.65$320.00
  Total CostEmployer CostEmployee Cost
Kaiser Traditional HMO (CA) Rate   
 Employee Only$742.27$657.27$85.00
 Employee and Spouse$1,633.00$1,398.00$235.00
 Employee and Child(ren)$1,484.54$1,304.54$180.00
 Employee and Family$2,226.81$1,911.81$315.00
  Total CostEmployer CostEmployee Cost
Kaiser Traditional HMO (CO) Rate   
 Employee Only$593.38$513.38$80.00
 Employee and Spouse$1,305.44$1,075.44$230.00
 Employee and Child(ren)$1,186.76$1,011.76$175.00
 Employee and Family$1,780.14$1,470.14$310.00
Employee Only
Total Cost$1,029.50
Employer Cost$874.50
Employer Cost$155.00
 
Employee and Spouse
Total Cost$2,264.92
Employer Cost$1,864.92
Employer Cost$400.00
 
Employee and Child(ren)
Total Cost$1,853.11
Employer Cost$1,523.11
Employer Cost$330.00
 
Employee and Family
Total Cost$3,191.47
Employer Cost$2,656.47
Employer Cost$535.00
 
Employee Only
Total Cost$850.53
Employer Cost$762.53
Employer Cost$88.00
 
Employee and Spouse
Total Cost$1,871.16
Employer Cost$1,621.16
Employer Cost$250.00
 
Employee and Child(ren)
Total Cost$1,530.96
Employer Cost$1,345.96
Employer Cost$185.00
 
Employee and Family
Total Cost$2,636.65
Employer Cost$2,316.65
Employer Cost$320.00
 
Employee Only
Total Cost$742.27
Employer Cost$657.27
Employer Cost$85.00
 
Employee and Spouse
Total Cost$1,633.00
Employer Cost$1,398.00
Employer Cost$235.00
 
Employee and Child(ren)
Total Cost$1,484.54
Employer Cost$1,304.54
Employer Cost$180.00
 
Employee and Family
Total Cost$2,226.81
Employer Cost$1,911.81
Employer Cost$315.00
 
Employee Only
Total Cost$593.38
Employer Cost$513.38
Employer Cost$80.00
 
Employee and Spouse
Total Cost$1,305.44
Employer Cost$1,075.44
Employer Cost$230.00
 
Employee and Child(ren)
Total Cost$1,186.76
Employer Cost$1,011.76
Employer Cost$175.00
 
Employee and Family
Total Cost$1,780.14
Employer Cost$1,470.14
Employer Cost$310.00
 

Dental (Monthly)

  Total CostEmployer CostEmployee Cost
Cigna Dental PPO Base Plan Rate   
 Employee Only$40.65$30.65$10.00
 Employee and Spouse$81.17$61.17$20.00
 Employee and Child(ren)$96.56$73.56$23.00
 Employee and Family$137.09$104.09$33.00
  Total CostEmployer CostEmployee Cost
Cigna Dental PPO Buy-Up Plan Rate   
 Employee Only$52.22$36.22$16.00
 Employee and Spouse$104.04$73.04$31.00
 Employee and Child(ren)$123.68$86.68$37.00
 Employee and Family$175.53$122.53$53.00
Employee Only
Total Cost$40.65
Employer Cost$30.65
Employer Cost$10.00
 
Employee and Spouse
Total Cost$81.17
Employer Cost$61.17
Employer Cost$20.00
 
Employee and Child(ren)
Total Cost$96.56
Employer Cost$73.56
Employer Cost$23.00
 
Employee and Family
Total Cost$137.09
Employer Cost$104.09
Employer Cost$33.00
 
Employee Only
Total Cost$52.22
Employer Cost$36.22
Employer Cost$16.00
 
Employee and Spouse
Total Cost$104.04
Employer Cost$73.04
Employer Cost$31.00
 
Employee and Child(ren)
Total Cost$123.68
Employer Cost$86.68
Employer Cost$37.00
 
Employee and Family
Total Cost$175.53
Employer Cost$122.53
Employer Cost$53.00
 

Vision (Monthly)

  Total CostEmployer CostEmployee Cost
VSP Vision PPO Rate   
 Employee Only$8.40$6.86$1.54
 Employee and Spouse$14.41$11.77$2.64
 Employee and Child(ren)$14.72$12.02$2.70
 Employee and Family$23.74$19.38$4.36
Employee Only
Total Cost$8.40
Employer Cost$6.86
Employer Cost$1.54
 
Employee and Spouse
Total Cost$14.41
Employer Cost$11.77
Employer Cost$2.64
 
Employee and Child(ren)
Total Cost$14.72
Employer Cost$12.02
Employer Cost$2.70
 
Employee and Family
Total Cost$23.74
Employer Cost$19.38
Employer Cost$4.36
 

Critical Illness — Low Plan $10,000 Coverage (Monthly)

Age BandEE onlyEE + SpouseEE + Child(ren)EE + Family
0-24$1.62$4.23$1.62$4.23
25-29$2.11$5.21$2.11$5.21
30-34$3.02$7.02$3.02$7.02
35-39$4.38$9.74$4.38$9.74
40-44$6.59$14.17$6.59$14.17
45-49$9.12$19.23$9.12$19.23
50-54$13.57$28.19$13.57$28.19
55-59$19.52$40.11$19.52$40.11
60-64$28.71$58.55$28.71$58.55
65-69$39.36$79.89$39.36$79.89
70-74$55.12$111.45$55.12$111.45
75+$55.12$138.40$55.12$138.40
Age Band0-24
EE only$1.62
EE + Spouse$4.23
EE + Child(ren)$1.62
EE + Family$4.23
Age Band25-29
EE only$2.11
EE + Spouse$5.21
EE + Child(ren)$2.11
EE + Family$5.21
Age Band30-34
EE only$3.02
EE + Spouse$7.02
EE + Child(ren)$3.02
EE + Family$7.02
Age Band35-39
EE only$4.38
EE + Spouse$9.74
EE + Child(ren)$4.38
EE + Family$9.74
Age Band40-44
EE only$6.59
EE + Spouse$14.17
EE + Child(ren)$6.59
EE + Family$14.17
Age Band45-49
EE only$9.12
EE + Spouse$19.23
EE + Child(ren)$9.12
EE + Family$19.23
Age Band50-54
EE only$13.57
EE + Spouse$28.19
EE + Child(ren)$13.57
EE + Family$28.19
Age Band55-59
EE only$19.52
EE + Spouse$40.11
EE + Child(ren)$19.52
EE + Family$40.11
Age Band60-64
EE only$28.71
EE + Spouse$58.55
EE + Child(ren)$28.71
EE + Family$58.55
Age Band65-69
EE only$39.36
EE + Spouse$79.89
EE + Child(ren)$39.36
EE + Family$79.89
Age Band70-74
EE only$55.12
EE + Spouse$111.45
EE + Child(ren)$55.12
EE + Family$111.45
Age Band75+
EE only$55.12
EE + Spouse$138.40
EE + Child(ren)$55.12
EE + Family$138.40

Critical Illness — High Plan $20,000 Coverage (Monthly)

Age BandEE onlyEE + SpouseEE + Child(ren)EE + Family
0-24$3.24$8.46$3.24$8.46
25-29$4.22$10.42$4.22$10.42
30-34$6.04$14.04$6.04$14.04
35-39$8.76$19.48$8.76$19.48
40-44$13.18$28.34$13.18$28.34
45-49$18.24$38.46$18.24$38.46
50-54$27.14$56.38$27.14$56.38
55-59$39.04$80.22$39.04$80.22
60-64$57.42$117.10$57.42$117.10
65-69$78.72$159.78$78.72$159.78
70-74$110.24$222.90$110.24$222.90
75+$110.24$276.80$110.24$276.80
Age Band0-24
EE only$3.24
EE + Spouse$8.46
EE + Child(ren)$3.24
EE + Family$8.46
Age Band25-29
EE only$4.22
EE + Spouse$10.42
EE + Child(ren)$4.22
EE + Family$10.42
Age Band30-34
EE only$6.04
EE + Spouse$14.04
EE + Child(ren)$6.04
EE + Family$14.04
Age Band35-39
EE only$8.76
EE + Spouse$19.48
EE + Child(ren)$8.76
EE + Family$19.48
Age Band40-44
EE only$13.18
EE + Spouse$28.34
EE + Child(ren)$13.18
EE + Family$28.34
Age Band45-49
EE only$18.24
EE + Spouse$38.46
EE + Child(ren)$18.24
EE + Family$38.46
Age Band50-54
EE only$27.14
EE + Spouse$56.38
EE + Child(ren)$27.14
EE + Family$56.38
Age Band55-59
EE only$39.04
EE + Spouse$80.22
EE + Child(ren)$39.04
EE + Family$80.22
Age Band60-64
EE only$57.42
EE + Spouse$117.10
EE + Child(ren)$57.42
EE + Family$117.10
Age Band65-69
EE only$78.72
EE + Spouse$159.78
EE + Child(ren)$78.72
EE + Family$159.78
Age Band70-74
EE only$110.24
EE + Spouse$222.90
EE + Child(ren)$110.24
EE + Family$222.90
Age Band75+
EE only$110.24
EE + Spouse$276.80
EE + Child(ren)$110.24
EE + Family$276.80

Critical Illness — High Plan $30,000 Coverage (Monthly)

Critical IllnessHigh Plan ($30,000 Coverage)
Age BandEE onlyEE + SpouseEE + ChildrenFamily
Critical Illness 0-24$4.86$12.69$4.86$12.69
Critical Illness 25-29$6.33$15.63$6.33$15.63
Critical Illness 30-34$9.06$21.06$9.06$21.06
Critical Illness 35-39$13.14$29.22$13.14$29.22
Critical Illness 40-44$19.77$42.51$19.77$42.51
Critical Illness 45-49$27.36$57.69$27.36$57.69
Critical Illness 50-54$40.71$84.57$40.71$84.57
Critical Illness 55-59$58.56$120.33$58.56$120.33
Critical Illness 60-64$86.13$175.65$86.13$175.65
Critical Illness 65-69$118.08$239.67$118.08$239.67
Critical Illness 70-74$165.36$334.35$165.36$334.35
Critical Illness 75+$165.36$415.20$165.36$415.20
Critical Illness0-24
High Plan ($30,000 Coverage)$4.86
High Plan ($30,000 Coverage)$12.69
High Plan ($30,000 Coverage)$4.86
High Plan ($30,000 Coverage)$12.69
Critical Illness25-29
High Plan ($30,000 Coverage)$6.33
High Plan ($30,000 Coverage)$15.63
High Plan ($30,000 Coverage)$6.33
High Plan ($30,000 Coverage)$15.63
Critical Illness30-34
High Plan ($30,000 Coverage)$9.06
High Plan ($30,000 Coverage)$21.06
High Plan ($30,000 Coverage)$9.06
High Plan ($30,000 Coverage)$21.06
Critical Illness35-39
High Plan ($30,000 Coverage)$13.14
High Plan ($30,000 Coverage)$29.22
High Plan ($30,000 Coverage)$13.14
High Plan ($30,000 Coverage)$29.22
Critical Illness40-44
High Plan ($30,000 Coverage)$19.77
High Plan ($30,000 Coverage)$42.51
High Plan ($30,000 Coverage)$19.77
High Plan ($30,000 Coverage)$42.51
Critical Illness45-49
High Plan ($30,000 Coverage)$27.36
High Plan ($30,000 Coverage)$57.69
High Plan ($30,000 Coverage)$27.36
High Plan ($30,000 Coverage)$57.69
Critical Illness50-54
High Plan ($30,000 Coverage)$40.71
High Plan ($30,000 Coverage)$84.57
High Plan ($30,000 Coverage)$40.71
High Plan ($30,000 Coverage)$84.57
Critical Illness55-59
High Plan ($30,000 Coverage)$58.56
High Plan ($30,000 Coverage)$120.33
High Plan ($30,000 Coverage)$58.56
High Plan ($30,000 Coverage)$120.33
Critical Illness60-64
High Plan ($30,000 Coverage)$86.13
High Plan ($30,000 Coverage)$175.65
High Plan ($30,000 Coverage)$86.13
High Plan ($30,000 Coverage)$175.65
Critical Illness65-69
High Plan ($30,000 Coverage)$118.08
High Plan ($30,000 Coverage)$239.67
High Plan ($30,000 Coverage)$118.08
High Plan ($30,000 Coverage)$239.67
Critical Illness70-74
High Plan ($30,000 Coverage)$165.36
High Plan ($30,000 Coverage)$334.35
High Plan ($30,000 Coverage)$165.36
High Plan ($30,000 Coverage)$334.35
Critical Illness75+
High Plan ($30,000 Coverage)$165.36
High Plan ($30,000 Coverage)$415.20
High Plan ($30,000 Coverage)$165.36
High Plan ($30,000 Coverage)$415.20

Accident Insurance (Monthly)

 Low PlanHigh Plan
EE only$3.99$5.83
EE + Spouse$7.98$11.66
EE + Child(ren)$8.38$12.25
EE + Family$12.36$18.08
EE only
Low Plan$3.99
High Plan$5.83
EE + Spouse
Low Plan$7.98
High Plan$11.66
EE + Child(ren)
Low Plan$8.38
High Plan$12.25
EE + Family
Low Plan$12.36
High Plan$18.08

Hospital Indemnity Insurance (Monthly)

Hospital IndemnityMonthly Cost
EE only$13.86
EE + Spouse$35.33
EE + Child(ren)$26.93
EE + Family$48.40
Hospital IndemnityEE only
Monthly Cost$13.86
Hospital IndemnityEE + Spouse
Monthly Cost$35.33
Hospital IndemnityEE + Child(ren)
Monthly Cost$26.93
Hospital IndemnityEE + Family
Monthly Cost$48.40

Supplemental Life Insurance (Monthly)

Employee and Spouse
Age BandRate per $1,000 of Coverage
0-24$0.04
25-29$0.04
30-34$0.05
35-39$0.07
40-44$0.10
45-49$0.15
50-54$0.23
55-59$0.41
60-64$0.66
65-69$1.10
70-74$1.81
75+$2.06
Dependent Child
$0.17 per $1,000 of Coverage
Employee and Spouse0-24
Employee and Spouse$0.04
Employee and Spouse25-29
Employee and Spouse$0.04
Employee and Spouse30-34
Employee and Spouse$0.05
Employee and Spouse35-39
Employee and Spouse$0.07
Employee and Spouse40-44
Employee and Spouse$0.10
Employee and Spouse45-49
Employee and Spouse$0.15
Employee and Spouse50-54
Employee and Spouse$0.23
Employee and Spouse55-59
Employee and Spouse$0.41
Employee and Spouse60-64
Employee and Spouse$0.66
Employee and Spouse65-69
Employee and Spouse$1.10
Employee and Spouse70-74
Employee and Spouse$1.81
Employee and Spouse75+
Employee and Spouse$2.06
Dependent Child$0.17 per $1,000 of Coverage

Supplemental AD&D Insurance (Monthly)

Employee and Spouse
Age BandRate per $1,000 of Coverage
0-24$0.04
25-29$0.04
30-34$0.05
35-39$0.07
40-44$0.10
45-49$0.15
50-54$0.23
55-59$0.41
60-64$0.66
65-69$1.10
70-74$1.81
75+$2.06
EE + Family
$0.04 per $1,000 of Coverage
Employee and Spouse0-24
Employee and Spouse$0.04
Employee and Spouse25-29
Employee and Spouse$0.04
Employee and Spouse30-34
Employee and Spouse$0.05
Employee and Spouse35-39
Employee and Spouse$0.07
Employee and Spouse40-44
Employee and Spouse$0.10
Employee and Spouse45-49
Employee and Spouse$0.15
Employee and Spouse50-54
Employee and Spouse$0.23
Employee and Spouse55-59
Employee and Spouse$0.41
Employee and Spouse60-64
Employee and Spouse$0.66
Employee and Spouse65-69
Employee and Spouse$1.10
Employee and Spouse70-74
Employee and Spouse$1.81
Employee and Spouse75+
Employee and Spouse$2.06
EE + Family$0.04 per $1,000 of Coverage

* Total supplemental AD&D costs combined for employee, spouse, and/or child coverage as applicable.

Identity Theft (Monthly)

EE only$6.50
EE + Family$12.50
EE only
$6.50
EE + Family
$12.50

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