Active Bi-Weekly Rates with Dental Buy Up

Kaiser HMO Total Premium City Contribution Employee
Bi-weekly
Deduction
Employee Only $548.29 $374.00 $174.29
Employee + 1 $1,097.05 $747.00 $350.05
Employee + Family $1,548.09 $1,055.00 $493.09
Kaiser HDHP Total Premium City Contribution Employee
Bi-weekly
Deduction
Employee Only $463.29 $374.00 $89.29
Employee + 1 $927.05 $747.00 $180.05
Employee + Family $1,308.09 $1,055.00 $253.09
Anthem PPO Total Premium City Contribution Employee
Bi-weekly
Deduction
Employee Only $527.29 $374.00 $153.29
Employee + 1 $1,054.05 $747.00 $307.05
Employee + Family $1,489.09 $1,055.00 $434.09
Anthem PPO Select Total Premium City Contribution Employee
Bi-weekly
Deduction
Employee Only $475.29 $374.00 $101.29
Employee + 1 $949.05 $747.00 $202.05
Employee + Family $1,341.59 $1,055.00 $286.59
Anthem HDHP 510 Total Premium City Contribution Employee
Bi-weekly
Deduction
Employee Only $447.29 $374.00 $73.29
Employee + 1 $892.55 $747.00 $145.55
Employee + Family $1,260.09 $1,055.00 $205.09
Medical Opt Out Total Premium City Contribution Cash In-Lieu
Employee Only $27.29 $225.00 $197.71
Employee + 1 $54.55 $225.00 $170.45
Employee + Family $74.09 $225.00 $150.91