2018-2019 Employee Contributions
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2018 - 2019 EMPLOYEE CONTRIBUTIONS December 1, 2018 - November 30, 2019 BLUE SHIELD PPO - CALIFORNIA EMPLOYEES Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
Total Monthly Cost $436.74 $1,011.17 $746.07 $746.07 $1,276.32
Employer Monthly Cost $436.74 $1,011.17 $746.07 $746.07 $1,276.32
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $358.44 $831.07 $612.90 $612.90 $1,049.14
Employer Monthly Cost $358.44 $831.07 $612.90 $612.90 $1,049.14
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $367.51 $852.62 $628.44 $628.44 $1,073.12
Employer Monthly Cost $367.51 $852.62 $628.44 $628.44 $1,073.12
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $58.36 $120.09 $143.48 $143.48 $205.20
Employer Monthly Cost $58.36 $120.09 $143.48 $143.48 $205.20
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $4.66
Employer Monthly Cost $4.66
Employee Monthly Cost $0.00
BLUE SHIELD PPO - OUT-OF-STATE EMPLOYEES Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
KAISER CALIFORNIA Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
GUARDIAN DENTAL Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
VISION REIMBURSEMENT PLAN Per Member
GUARDIAN LIFE/DISABILITY Baisic Life/AD&D Short-Term Disability Long-Term Disability
Total Monthly Cost 100% Employer Paid 100% Employer Paid 100% Employer Paid
Total Monthly Cost $436.74 $1,011.17 $746.07 $746.07 $1,276.32
Employer Monthly Cost $436.74 $1,011.17 $746.07 $746.07 $1,276.32
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $358.44 $831.07 $612.90 $612.90 $1,049.14
Employer Monthly Cost $358.44 $831.07 $612.90 $612.90 $1,049.14
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $367.51 $852.62 $628.44 $628.44 $1,073.12
Employer Monthly Cost $367.51 $852.62 $628.44 $628.44 $1,073.12
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $58.36 $120.09 $143.48 $143.48 $205.20
Employer Monthly Cost $58.36 $120.09 $143.48 $143.48 $205.20
Employee Monthly Cost $0.00 $0.00 $0.00 $0.00 $0.00
Total Monthly Cost $4.66
Employer Monthly Cost $4.66
Employee Monthly Cost $0.00
BLUE SHIELD PPO - OUT-OF-STATE EMPLOYEES Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
KAISER CALIFORNIA Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
GUARDIAN DENTAL Employee Only Employee + Spouse/DP Employee + Child Employee + Children Employee + Spouse/DP + Child(ren)
VISION REIMBURSEMENT PLAN Per Member
GUARDIAN LIFE/DISABILITY Baisic Life/AD&D Short-Term Disability Long-Term Disability
Total Monthly Cost 100% Employer Paid 100% Employer Paid 100% Employer Paid
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