Per-Pay-Period Plan Costs
UHC PPO 2000
Employee Only: $38.00
Employee and Spouse/DP: $218.00
Employee and Child(ren): $174.00
Employee and Family: $343.00
UHC PPO 1000
Employee Only: $54.00
Employee and Spouse/DP: $311.00
Employee and Child(ren): $251.00
Employee and Family: $496.00
Kaiser HMO
Employee Only: $58.00
Employee and Spouse/DP: $267.00
Employee and Child(ren): $232.00
Employee and Family: $411.00
Principal Dental
Employee Only: $3.00
Employee + 1: $15.00
Employee + 2+: $40.00
Principal Vision
Employee Only: $1.00
Employee and Spouse/DP: $2.00
Employee and Child(ren): $2.00
Employee and Family: $5.00
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 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 Wall to Wall if your domestic partner is your tax dependent.