Active Bi-weekly Rates with Dental Core

Kaiser HMO Total Premium City Contribution Employee
Bi-Weekly
Deduction
Employee Only $545.88 $374.00 $171.88
Employee + 1 $1,092.25 $747.00 $345.25
Employee + Family $1,541.57 $1,055.00 $486.57
Kaiser HDHP Total Premium City Contribution Employee
Bi-Weekly
Deduction
Employee Only $460.88 $374.00 $86.88
Employee + 1 $922.25 $747.00 $175.25
Employee + Family $1,301.57 $1,055.00 $246.57
Anthem PPO Total Premium City Contribution Employee
Bi-Weekly
Deduction
Employee Only $524.88 $374.00 $150.88
Employee + 1 $1,049.25 $747.00 $302.25
Employee + Family $1,482.57 $1,055.00 $427.57
Anthem PPO Select Total Premium City Contribution Employee
Bi-Weekly
Deduction
Employee Only $472.88 $374.00 $98.88
Employee + 1 $944.25 $747.00 $197.25
Employee + Family $1,335.07 $1,055.00 $280.07
Anthem HDHP 510 Total Premium City Contribution Employee
Bi-Weekly
Deduction
Employee Only $444.88 $374.00 $70.88
Employee + 1 $887.75 $747.00 $140.75
Employee + Family $1,253.57 $1,055.00 $198.57
Medical Opt Out Total Premium City Contribution Cash In-Lieu
Employee Only $24.88 $225.00 $200.12
Employee + 1 $49.75 $225.00 $175.25
Employee + Family $67.57 $225.00 $157.43