Plan Costs
Costs below are monthly. Actual payroll deductions will occur bi-weekly.
Anthem Blue Cross HSA 1650
Employee Only: $0.00
Employee and Spouse/DP: $67.78
Employee and Child(ren): $55.45
Employee and Family: $95.51
Anthem Blue Cross Premier PPO 250
Employee Only: $64.04
Employee and Spouse/DP: $234.81
Employee and Child(ren): $192.12
Employee and Family: $397.05
Anthem Blue Cross EPO
Employee Only: $58.02
Employee and Spouse/DP: $212.75
Employee and Child(ren): $174.07
Employee and Family: $359.74
Kaiser HMO (CA)
Employee Only: $46.46
Employee and Spouse/DP: $136.27
Employee and Child(ren): $111.50
Employee and Family: $192.02
Kaiser HMO (HI)
Employee Only: $0.00
Employee and Spouse/DP: $79.56
Employee and Child(ren): $71.60
Employee and Family: $119.34
Guardian DPPO – Base
Employee Only: $0.00
Employee and Spouse/DP: $0.00
Employee and Child(ren): $0.00
Employee and Family: $0.00
Guardian DPPO – Premier
Employee Only: $13.24
Employee and Spouse/DP: $26.89
Employee and Child(ren): $38.58
Employee and Family: $53.02
VSP Vision – Base
Employee Only: $0
Employee and Spouse/DP: $0
Employee and Child(ren): $0
Employee and Family: $0
VSP Vision – Premier
Employee Only: $5.10
Employee and Spouse/DP: $10.20
Employee and Child(ren): $10.91
Employee and Family: $17.44
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 imputed income on your W-2. Contact your tax advisor for more details on how this tax treatment applies to you. Notify Whatnot if your domestic partner is your tax dependent.