Coverage details through the end of the year are listed below. See 2026 changes here.
COST OF COVERAGE
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.
Medical (Monthly)
| Total Cost | Employer Cost | Employee Cost | ||
|---|---|---|---|---|
| Cigna PPO 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 Cost | Employer Cost | Employee 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 Cost | Employer Cost | Employee 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 Cost | Employer Cost | Employee 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 | |
| Cigna PPO Rate | |
| Employee Only | |
| Total Cost | $1,029.50 |
| Employer Cost | $874.50 |
| Employee Cost | $155.00 |
| Employee and Spouse | |
| Total Cost | $2,264.92 |
| Employer Cost | $1,864.92 |
| Employee Cost | $400.00 |
| Employee and Child(ren) | |
| Total Cost | $1,853.11 |
| Employer Cost | $1,523.11 |
| Employee Cost | $330.00 |
| Employee and Family | |
| Total Cost | $3,191.47 |
| Employer Cost | $2,656.47 |
| Employee Cost | $535.00 |
| Cigna HDHP Rate | |
| Employee Only | |
| Total Cost | $850.53 |
| Employer Cost | $762.53 |
| Employee Cost | $88.00 |
| Employee and Spouse | |
| Total Cost | $1,871.16 |
| Employer Cost | $1,621.16 |
| Employee Cost | $250.00 |
| Employee and Child(ren) | |
| Total Cost | $1,530.96 |
| Employer Cost | $1,345.96 |
| Employee Cost | $185.00 |
| Employee and Family | |
| Total Cost | $2,636.65 |
| Employer Cost | $2,316.65 |
| Employee Cost | $320.00 |
| Kaiser Traditional HMO (CA) Rate | |
| Employee Only | |
| Total Cost | $742.27 |
| Employer Cost | $657.27 |
| Employee Cost | $85.00 |
| Employee and Spouse | |
| Total Cost | $1,633.00 |
| Employer Cost | $1,398.00 |
| Employee Cost | $235.00 |
| Employee and Child(ren) | |
| Total Cost | $1,484.54 |
| Employer Cost | $1,304.54 |
| Employee Cost | $180.00 |
| Employee and Family | |
| Total Cost | $2,226.81 |
| Employer Cost | $1,911.81 |
| Employee Cost | $315.00 |
| Kaiser Traditional HMO (CO) Rate | |
| Employee Only | |
| Total Cost | $593.38 |
| Employer Cost | $513.38 |
| Employee Cost | $80.00 |
| Employee and Spouse | |
| Total Cost | $1,305.44 |
| Employer Cost | $1,075.44 |
| Employee Cost | $230.00 |
| Employee and Child(ren) | |
| Total Cost | $1,186.76 |
| Employer Cost | $1,011.76 |
| Employee Cost | $175.00 |
| Employee and Family | |
| Total Cost | $1,780.14 |
| Employer Cost | $1,470.14 |
| Employee Cost | $310.00 |
Dental (Monthly)
| Total Cost | Employer Cost | Employee 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 Cost | Employer Cost | Employee 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 | |
| Cigna Dental PPO Base Plan Rate | |
| Employee Only | |
| Total Cost | $40.65 |
| Employer Cost | $30.65 |
| Employee Cost | $10.00 |
| Employee and Spouse | |
| Total Cost | $81.17 |
| Employer Cost | $61.17 |
| Employee Cost | $20.00 |
| Employee and Child(ren) | |
| Total Cost | $96.56 |
| Employer Cost | $73.56 |
| Employee Cost | $23.00 |
| Employee and Family | |
| Total Cost | $137.09 |
| Employer Cost | $104.09 |
| Employee Cost | $33.00 |
| Cigna Dental PPO Buy-Up Plan Rate | |
| Employee Only | |
| Total Cost | $52.22 |
| Employer Cost | $36.22 |
| Employee Cost | $16.00 |
| Employee and Spouse | |
| Total Cost | $104.04 |
| Employer Cost | $73.04 |
| Employee Cost | $31.00 |
| Employee and Child(ren) | |
| Total Cost | $123.68 |
| Employer Cost | $86.68 |
| Employee Cost | $37.00 |
| Employee and Family | |
| Total Cost | $175.53 |
| Employer Cost | $122.53 |
| Employee Cost | $53.00 |
Vision (Monthly)
| Total Cost | Employer Cost | Employee 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 Band | EE only | EE + Spouse | EE + 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 Band | 0-24 |
| EE only | $1.62 |
| EE + Spouse | $4.23 |
| EE + Child(ren) | $1.62 |
| EE + Family | $4.23 |
| Age Band | 25-29 |
| EE only | $2.11 |
| EE + Spouse | $5.21 |
| EE + Child(ren) | $2.11 |
| EE + Family | $5.21 |
| Age Band | 30-34 |
| EE only | $3.02 |
| EE + Spouse | $7.02 |
| EE + Child(ren) | $3.02 |
| EE + Family | $7.02 |
| Age Band | 35-39 |
| EE only | $4.38 |
| EE + Spouse | $9.74 |
| EE + Child(ren) | $4.38 |
| EE + Family | $9.74 |
| Age Band | 40-44 |
| EE only | $6.59 |
| EE + Spouse | $14.17 |
| EE + Child(ren) | $6.59 |
| EE + Family | $14.17 |
| Age Band | 45-49 |
| EE only | $9.12 |
| EE + Spouse | $19.23 |
| EE + Child(ren) | $9.12 |
| EE + Family | $19.23 |
| Age Band | 50-54 |
| EE only | $13.57 |
| EE + Spouse | $28.19 |
| EE + Child(ren) | $13.57 |
| EE + Family | $28.19 |
| Age Band | 55-59 |
| EE only | $19.52 |
| EE + Spouse | $40.11 |
| EE + Child(ren) | $19.52 |
| EE + Family | $40.11 |
| Age Band | 60-64 |
| EE only | $28.71 |
| EE + Spouse | $58.55 |
| EE + Child(ren) | $28.71 |
| EE + Family | $58.55 |
| Age Band | 65-69 |
| EE only | $39.36 |
| EE + Spouse | $79.89 |
| EE + Child(ren) | $39.36 |
| EE + Family | $79.89 |
| Age Band | 70-74 |
| EE only | $55.12 |
| EE + Spouse | $111.45 |
| EE + Child(ren) | $55.12 |
| EE + Family | $111.45 |
| Age Band | 75+ |
| 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 Band | EE only | EE + Spouse | EE + 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 Band | 0-24 |
| EE only | $3.24 |
| EE + Spouse | $8.46 |
| EE + Child(ren) | $3.24 |
| EE + Family | $8.46 |
| Age Band | 25-29 |
| EE only | $4.22 |
| EE + Spouse | $10.42 |
| EE + Child(ren) | $4.22 |
| EE + Family | $10.42 |
| Age Band | 30-34 |
| EE only | $6.04 |
| EE + Spouse | $14.04 |
| EE + Child(ren) | $6.04 |
| EE + Family | $14.04 |
| Age Band | 35-39 |
| EE only | $8.76 |
| EE + Spouse | $19.48 |
| EE + Child(ren) | $8.76 |
| EE + Family | $19.48 |
| Age Band | 40-44 |
| EE only | $13.18 |
| EE + Spouse | $28.34 |
| EE + Child(ren) | $13.18 |
| EE + Family | $28.34 |
| Age Band | 45-49 |
| EE only | $18.24 |
| EE + Spouse | $38.46 |
| EE + Child(ren) | $18.24 |
| EE + Family | $38.46 |
| Age Band | 50-54 |
| EE only | $27.14 |
| EE + Spouse | $56.38 |
| EE + Child(ren) | $27.14 |
| EE + Family | $56.38 |
| Age Band | 55-59 |
| EE only | $39.04 |
| EE + Spouse | $80.22 |
| EE + Child(ren) | $39.04 |
| EE + Family | $80.22 |
| Age Band | 60-64 |
| EE only | $57.42 |
| EE + Spouse | $117.10 |
| EE + Child(ren) | $57.42 |
| EE + Family | $117.10 |
| Age Band | 65-69 |
| EE only | $78.72 |
| EE + Spouse | $159.78 |
| EE + Child(ren) | $78.72 |
| EE + Family | $159.78 |
| Age Band | 70-74 |
| EE only | $110.24 |
| EE + Spouse | $222.90 |
| EE + Child(ren) | $110.24 |
| EE + Family | $222.90 |
| Age Band | 75+ |
| 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 Illness | High Plan ($30,000 Coverage) | |||
|---|---|---|---|---|
| Age Band | EE only | EE + Spouse | EE + Children | Family |
| 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 Illness | 0-24 |
| 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 Illness | 25-29 |
| 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 Illness | 30-34 |
| 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 Illness | 35-39 |
| 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 Illness | 40-44 |
| 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 Illness | 45-49 |
| 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 Illness | 50-54 |
| 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 Illness | 55-59 |
| 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 Illness | 60-64 |
| 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 Illness | 65-69 |
| 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 Illness | 70-74 |
| 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 Illness | 75+ |
| 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 Plan | High 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 Indemnity | Monthly Cost |
|---|---|
| EE only | $13.86 |
| EE + Spouse | $35.33 |
| EE + Child(ren) | $26.93 |
| EE + Family | $48.40 |
| Hospital Indemnity | EE only |
| Monthly Cost | $13.86 |
| Hospital Indemnity | EE + Spouse |
| Monthly Cost | $35.33 |
| Hospital Indemnity | EE + Child(ren) |
| Monthly Cost | $26.93 |
| Hospital Indemnity | EE + Family |
| Monthly Cost | $48.40 |
Supplemental Life Insurance (Monthly)
| Employee and Spouse | |
|---|---|
| Age Band | Rate 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 Spouse | 0-24 |
| Employee and Spouse | $0.04 |
| Employee and Spouse | 25-29 |
| Employee and Spouse | $0.04 |
| Employee and Spouse | 30-34 |
| Employee and Spouse | $0.05 |
| Employee and Spouse | 35-39 |
| Employee and Spouse | $0.07 |
| Employee and Spouse | 40-44 |
| Employee and Spouse | $0.10 |
| Employee and Spouse | 45-49 |
| Employee and Spouse | $0.15 |
| Employee and Spouse | 50-54 |
| Employee and Spouse | $0.23 |
| Employee and Spouse | 55-59 |
| Employee and Spouse | $0.41 |
| Employee and Spouse | 60-64 |
| Employee and Spouse | $0.66 |
| Employee and Spouse | 65-69 |
| Employee and Spouse | $1.10 |
| Employee and Spouse | 70-74 |
| Employee and Spouse | $1.81 |
| Employee and Spouse | 75+ |
| Employee and Spouse | $2.06 |
| Dependent Child | $0.17 per $1,000 of Coverage |
Supplemental AD&D Insurance (Monthly)
| Employee and Spouse | |
|---|---|
| Age Band | Rate 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 Spouse | 0-24 |
| Employee and Spouse | $0.04 |
| Employee and Spouse | 25-29 |
| Employee and Spouse | $0.04 |
| Employee and Spouse | 30-34 |
| Employee and Spouse | $0.05 |
| Employee and Spouse | 35-39 |
| Employee and Spouse | $0.07 |
| Employee and Spouse | 40-44 |
| Employee and Spouse | $0.10 |
| Employee and Spouse | 45-49 |
| Employee and Spouse | $0.15 |
| Employee and Spouse | 50-54 |
| Employee and Spouse | $0.23 |
| Employee and Spouse | 55-59 |
| Employee and Spouse | $0.41 |
| Employee and Spouse | 60-64 |
| Employee and Spouse | $0.66 |
| Employee and Spouse | 65-69 |
| Employee and Spouse | $1.10 |
| Employee and Spouse | 70-74 |
| Employee and Spouse | $1.81 |
| Employee and Spouse | 75+ |
| 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 |
_
January 1, 2026 – December 31, 2026
Coverage differences are listed below. If your plan is not listed, there are no changes.
Medical (monthly)
| Total Cost | Employer Cost | Employee Cost | ||
|---|---|---|---|---|
| Cigna PPO Rate | ||||
| Employee Only | $1,21.52 | $950.52 | $171.00 | |
| Employee and Spouse | $2,467.36 | $2,027.36 | $440.00 | |
| Employee and Child(ren) | $2,018.74 | $1,655.74 | $363.00 | |
| Employee and Family | $3,476.72 | $2,887.72 | $589.00 | |
| Total Cost | Employer Cost | Employee Cost | ||
|---|---|---|---|---|
| Cigna HDHP Rate | ||||
| Employee Only | $926.55 | $834.55 | $92.00 | |
| Employee and Spouse | $2,038.40 | $1,755.40 | $263.00 | |
| Employee and Child(ren) | $1,667.80 | $1,473.80 | $194.00 | |
| Employee and Family | $2,872.31 | $2,536.31 | $336.00 | |
| Total Cost | Employer Cost | Employee Cost | ||
|---|---|---|---|---|
| Kaiser Traditional HMO Rate* | ||||
| Employee Only | $778.48 | $680.48 | $98.00 | |
| Employee and Spouse | $1,556.96 | $1,286.96 | $270.00 | |
| Employee and Child(ren) | $1,484.54 | $1,304.54 | $180.00 | |
| Employee and Family | $2,226.81 | $1,911.81 | $315.00 | |
*We now offer one Kaiser plan for all eligible states
| Cigna PPO Rate | |
| Employee Only | |
| Total Cost | $1,21.52 |
| Employer Cost | $950.52 |
| Employee Cost | $171.00 |
| Employee and Spouse | |
| Total Cost | $2,467.36 |
| Employer Cost | $2,027.36 |
| Employee Cost | $440.00 |
| Employee and Child(ren) | |
| Total Cost | $2,018.74 |
| Employer Cost | $1,655.74 |
| Employee Cost | $363.00 |
| Employee and Family | |
| Total Cost | $3,476.72 |
| Employer Cost | $2,887.72 |
| Employee Cost | $589.00 |
| Cigna HDHP Rate | |
| Employee Only | |
| Total Cost | $926.55 |
| Employer Cost | $834.55 |
| Employee Cost | $92.00 |
| Employee and Spouse | |
| Total Cost | $2,038.40 |
| Employer Cost | $1,755.40 |
| Employee Cost | $263.00 |
| Employee and Child(ren) | |
| Total Cost | $1,667.80 |
| Employer Cost | $1,473.80 |
| Employee Cost | $194.00 |
| Employee and Family | |
| Total Cost | $2,872.31 |
| Employer Cost | $2,536.31 |
| Employee Cost | $336.00 |
| Kaiser Traditional HMO Rate* | |
| Employee Only | |
| Total Cost | $778.48 |
| Employer Cost | $680.48 |
| Employee Cost | $98.00 |
| Employee and Spouse | |
| Total Cost | $1,556.96 |
| Employer Cost | $1,286.96 |
| Employee Cost | $270.00 |
| Employee and Child(ren) | |
| Total Cost | $1,658.84 |
| Employer Cost | $1,464.84 |
| Employee Cost | $194.00 |
| Employee and Family | |
| Total Cost | $2,856.87 |
| Employer Cost | $2,520.87 |
| Employee Cost | $336.00 |
*We now offer one Kaiser plan for all eligible states
Dental (Monthly)
| Total Cost | Employer Cost | Employee Cost | ||
|---|---|---|---|---|
| Cigna Dental PPO Buy-Up Plan Rate | ||||
| Employee Only | $59.17 | $41.04 | $18.13 | |
| Employee and Spouse | $117.89 | $82.76 | $35.13 | |
| Employee and Child(ren) | $140.14 | $98.22 | $41.92 | |
| Employee and Family | $198.89 | $138.84 | $60.05 | |
| Cigna Dental PPO Buy-Up Plan Rate | |
| Employee Only | |
| Total Cost | $59.17 |
| Employer Cost | $41.04 |
| Employee Cost | $18.13 |
| Employee and Spouse | |
| Total Cost | $117.89 |
| Employer Cost | $82.76 |
| Employee Cost | $35.13 |
| Employee and Child(ren) | |
| Total Cost | $140.14 |
| Employer Cost | $98.22 |
| Employee Cost | $41.92 |
| Employee and Family | |
| Total Cost | $198.89 |
| Employer Cost | $138.84 |
| Employee Cost | $60.05 |
New: Legal (Monthly)
| Employee only | $19.50 |
| Empoloyee and Spouse | $19.50 |
| Employee only | $19.50 |
| Empoloyee and Spouse | $19.50 |
New: Cancer Advocate (Monthly)
| Age Band | Non-Tobacco | Tobacco | ||
| Employee Only | Employee and Spouse | Employee Only | Employee and Spouse | |
| 18-25 | $26.00 | $52.00 | $46.54 | $92.82 |
| 26-30 | $27.30 | $54.08 | $48.62 | $96.46 |
| 31-35 | $30.16 | $59.54 | $53.56 | $106.34 |
| 36-40 | $33.54 | $66.56 | $60.06 | $119.08 |
| 41-45 | $39.78 | $78.26 | $70.98 | $139.62 |
| 46-50 | $45.50 | $88.92 | $80.08 | $157.30 |
| 51-55 | $55.38 | $107.38 | $98.28 | $191.62 |
| 56-60 | $65.52 | $127.14 | $117.00 | $227.24 |
| 61-65 | $80.60 | $153.66 | $142.22 | $272.24 |
| 66-70 | $92.30 | $174.46 | $159.90 | $304.72 |
| 71-75 | $100.36 | $189.02 | $182.00 | $342.16 |
| 76-80 | $123.24 | $224.90 | $216.58 | $397.02 |
| 81+ | $135.20 | $243.88 | $239.46 | $433.42 |
| Age: 18 - 25 | |
| Non Tobacco | |
| Employee Only | $59.17 |
| Employee and Spouse | $52.00 |
| Tobacco | |
| Employee Only | $46.54 |
| Employee and Spouse | $92.82 |
| Age: 26 - 30 | |
| Non-Tobacco | |
| Employee Only | $27.30 |
| Employee and Spouse | $54.08 |
| Tobacco | |
| Employee Only | $48.62 |
| Employee and Spouse | $96.46 |
| Age: 31- 35 | |
| Non-Tobacco | |
| Employee Only | $30.16 |
| Employee and Spouse | $59.54 |
| Tobacco | |
| Employee Only | $53.56 |
| Employee and Spouse | $106.34 |
| Age: 36-40 | |
| Non-Tobacco | |
| Employee Only | $33.54 |
| Employee and Spouse | $66.56 |
| Tobacco | |
| Employee Only | $60.06 |
| Age: 41-45 | |
| Non-Tobacco | |
| Employee Only | $39.78 |
| Employee and Spouse | $78.26 |
| Tobacco | |
| Employee Only | $70.98 |
| Employee and Spouse | $139.62 |
| Age: 46-50 | |
| Non-Tobacco | |
| Employee Only | $45.50 |
| Employee and Spouse | $88.92 |
| Tobacco | |
| Employee Only | $80.08 |
| Employee and Spouse | $157.30 |
| Age: 51-55 | |
| Non-Tobacco | |
| Employee Only | $55.38 |
| Employee and Spouse | $107.38 |
| Tobacco | |
| Employee Only | $98.28 |
| Employee and Spouse | $191.62 |
| Age: 56-60 | |
| Non-Tobacco | |
| Employee Only | $65.52 |
| Employee and Spouse | $127.14 |
| Tobacco | |
| Employee Only | $117.00 |
| Employee and Spouse | $227.24 |
| Age: 61-65 | |
| Non-Tobacco | |
| Employee Only | $80.60 |
| Employee and Spouse | $153.66 |
| Tobacco | |
| Employee Only | $142.22 |
| Employee and Spouse | $272.24 |
| Age: 66-70 | |
| Non-Tobacco | |
| Employee Only | $92.30 |
| Employee and Spouse | $174.46 |
| Tobacco | |
| Employee Only | $159.90 |
| Employee and Spouse | $304.72 |
| Age: 71-51 | |
| Non-Tobacco | |
| Employee Only | $100.36 |
| Employee and Spouse | $189.02 |
| Tobacco | |
| Employee Only | $182.00 |
| Employee and Spouse | $342.16 |
| Age: 76-80 | |
| Non-Tobacco | |
| Employee Only | $123.24 |
| Employee and Spouse | $224.90 |
| Tobacco | |
| Employee Only | $216.58 |
| Employee and Spouse | $397.02 |
| Age: 81+ | |
| Non-Tobacco | |
| Employee Only | $135.20 |
| Employee and Spouse | $243.88 |
| Tobacco | |
| Employee Only | $239.46 |
| Employee and Spouse | $433.42 |