Bi-Weekly Plan Costs
Kaiser HMO (CA Only)
Non-Exempt
Employee Only: $101.00
Employee and Spouse/DP: $257.00
Employee and Child(ren): $230.00
Employee and Family: $402.00
Exempt
Employee Only: $147.00
Employee and Spouse/DP: $359.00
Employee and Child(ren): $318.00
Employee and Family: $523.00
Cigna EPO
Non-Exempt
Employee Only: $101.00
Employee and Spouse/DP: $257.00
Employee and Child(ren): $230.00
Employee and Family: $402.00
Exempt
Employee Only: $147.00
Employee and Spouse/DP: $359.00
Employee and Child(ren): $318.00
Employee and Family: $523.00
Cigna PPO
Non-Exempt
Employee Only: $136.00
Employee and Spouse/DP: $331.00
Employee and Child(ren): $293.00
Employee and Family: $498.00
Exempt
Employee Only: $174.00
Employee and Spouse/DP: $414.00
Employee and Child(ren): $367.00
Employee and Family: $635.00
Cigna HDHP
Non-Exempt
Employee Only: $70.00
Employee and Spouse/DP: $195.00
Employee and Child(ren): $177.00
Employee and Family: $307.00
Exempt
Employee Only: $103.00
Employee and Spouse/DP: $266.00
Employee and Child(ren): $241.00
Employee and Family: $393.00
Cigna Dental Base PPO
Employee Only: $8.75
Employee and Spouse/DP: $25.18
Employee and Child(ren): $34.44
Employee and Family: $50.87
Cigna Dental Buy-Up PPO
Employee Only: $16.03
Employee and Spouse/DP: $39.38
Employee and Child(ren): $52.54
Employee and Family: $75.90
Cigna Dental HMO
Employee Only: $4.14
Employee and Spouse/DP: $10.75
Employee and Child(ren): $10.63
Employee and Family: $19.33
VSP Base Vision
Employee Only: $1.72
Employee and Spouse/DP: $3.79
Employee and Child(ren): $3.90
Employee and Family: $7.34
VSP Buy-Up Vision
Employee Only: $5.21
Employee and Spouse/DP: $8.66
Employee and Child(ren): $8.84
Employee and Family: $14.25
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 his/her 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 Clyde & Co if your domestic partner is your tax dependent.