Per Pay Period Plan Costs

Anthem PPO 750

Employee Only: $37.69

Employee + Spouse/DP: $141.32

Employee + Child: $141.32 

Employee + Children: $226.11

Employee + Family: $226.11

Anthem PPO 500

Employee Only: $76.41

Employee + Spouse/DP: $222.64

Employee + Child: $222.64

Employee + Children: $342.28

Employee + Family: $342.28

Anthem HDHP

Employee Only: $31.95

Employee + Spouse/DP: $119.80

Employee + Child: $119.80

Employee + Children: $191.68

Employee + Family: $191.68

Anthem HMO

Employee Only: $32.18

Employee + Spouse/DP: $120.69

Employee + Child: $120.69

Employee + Children: $193.11

Employee + Family: $193.11

Kaiser HMO

Employee Only: $32.65

Employee + Spouse/DP: $130.59

Employee + Child(ren): $114.27

Employee + Family: $195.89

Cigna Dental PPO

Employee Only: $0.00

Employee and Spouse: $5.50

Employee and Child(ren): $8.50

Employee and Family: $13.50

MetLife (VSP) Vision

Employee Only: $0.00

Employee and Spouse: $1.00

Employee and Child(ren): $1.00

Employee and Family: $2.00

Domestic Partner Coverage

Please note that unless your domestic partner is your tax dependent as defined by the IRS, contributions for domestic partner coverage must be made after-tax. Similarly, the company contribution toward coverage for your domestic partner and their dependents will be reported as taxable income on your W-2. Contact your tax advisor for more details on how this tax treatment applies to you. Notify LeanTaaS if your domestic partner is your tax dependent.

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