Stanford Benefits
Contribution Rates 2014 - Active Employee
Table of Contents
Full-Time Employee 2014 Contribution Chart
Medical Plan Costs Per Pay Period
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Kaiser Permanente HMO | ||||
| Employee Only | $290.74 | $290.74 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | 610.56 | 500.66 | 109.90 | |
| Employee & Child(ren) | 523.32 | 429.12 | 94.20 | |
| Employee & Family | 843.12 | 691.36 | 151.76 | |
| Stanford HealthCare Alliance | ||||
| Employee Only | $290.74 | $290.74 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | 610.56 | 500.66 | 109.90 | |
| Employee & Child(ren) | 523.32 | 429.12 | 94.20 | |
| Employee & Family | 843.12 | 691.36 | 151.76 | |
| Blue Shield EPO | ||||
| Employee Only | $370.26 | $290.74 | $79.52 | |
| Employee & Spouse/Registered Domestic Partner | 777.54 | 500.66 | 276.88 | |
| Employee & Child(ren) | 666.46 | 429.12 | 237.34 | |
| Employee & Family | 1,073.74 | 691.36 | 382.38 | |
| Blue Shield PPO | ||||
| Employee Only | $410.20 | $290.74 | $119.46 | |
| Employee & Spouse/Registered Domestic Partner | 861.42 | 500.66 | 360.76 | |
| Employee & Child(ren) | 738.36 | 429.12 | 309.24 | |
| Employee & Family | 1,189.58 | 691.36 | 498.22 | |
| Blue Shield High Deductible | ||||
| Employee Only | $337.64 | $290.74 | $46.90 | |
| Employee & Spouse/Registered Domestic Partner | 709.06 | 500.66 | 208.40 | |
| Employee & Child(ren) | 607.78 | 429.12 | 178.66 | |
| Employee & Family | 979.16 | 691.36 | 287.80 | |
| Out of Area Blue Shield PPO | ||||
| Employee Only | $347.96 | $259.62 | $88.34 | |
| Employee & Spouse/Registered Domestic Partner | 730.74 | 435.32 | 295.42 | |
| Employee & Child(ren) | 626.36 | 373.12 | 253.24 | |
| Employee & Family | 1,009.12 | 601.14 | 407.98 | |
| Out of Area Blue Shield High Deductible | ||||
| Employee Only | $299.88 | $271.86 | $28.02 | |
| Employee & Spouse/Registered Domestic Partner | 629.72 | 461.00 | 168.72 | |
| Employee & Child(ren) | 539.78 | 395.12 | 144.66 | |
| Employee & Family | 869.64 | 636.60 | 233.04 | |
| Out of Area Blue Shield EPO | ||||
| Employee Only | $334.34 | $272.78 | $61.56 | |
| Employee & Spouse/Registered Domestic Partner | 702.10 | 462.94 | 239.16 | |
| Employee & Child(ren) | 601.79 | 396.80 | 204.99 | |
| Employee & Family | 969.55 | 639.28 | 330.27 | |
Dental & Vision Costs Per Pay Period
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Delta Dental Basic PPO | ||||
| Employee Only | $23.20 | $23.20 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | 48.70 | 48.70 | 0.00 | |
| Employee & Child(ren) | 41.74 | 41.74 | 0.00 | |
| Employee & Family | 67.26 | 67.26 | 0.00 | |
| Delta Dental Enhanced PPO | ||||
| Employee Only | $28.92 | $23.20 | $5.72 | |
| Employee & Spouse/Registered Domestic Partner | 60.70 | 48.70 | 12.00 | |
| Employee & Child(ren) | 52.04 | 41.74 | 10.30 | |
| Employee & Family | 83.82 | 67.26 | 16.56 | |
| Vision Service Plan (VSP) | ||||
| Employee Only | $6.02 | $0.00 | $6.02 | |
| Employee & Spouse/Registered Domestic Partner | 9.64 | 0.00 | 9.64 | |
| Employee & Child(ren) | 9.84 | 0.00 | 9.84 | |
| Employee & Family | 15.86 | 0.00 | 15.86 | |
Part-Time Employee 2014 Contribution Chart
Medical Plan Costs Per Pay Period
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
|
|---|---|---|---|
| Kaiser Permanente HMO | |||
| Employee Only | $290.74 | $145.37 | $145.37 |
| Employee & Spouse/Registered Domestic Partner | 610.56 | 250.33 | 360.23 |
| Employee & Child(ren) | 523.32 | 214.56 | 308.76 |
| Employee & Family | 843.12 | 345.68 | 497.44 |
| Stanford HealthCare Alliance | |||
| Employee Only | $290.74 | $145.37 | $145.37 |
| Employee & Spouse/Registered Domestic Partner | 610.56 | 250.33 | 360.23 |
| Employee & Child(ren) | 523.32 | 214.56 | 308.76 |
| Employee & Family | 843.12 | 345.68 | 497.44 |
| Blue Shield EPO | |||
| Employee Only | $370.26 | $145.37 | $224.89 |
| Employee & Spouse/Registered Domestic Partner | 777.54 | 250.33 | 527.21 |
| Employee & Child(ren) | 666.46 | 214.56 | 451.90 |
| Employee & Family | 1,073.74 | 345.68 | 728.06 |
| Blue Shield PPO | |||
| Employee Only | $410.20 | $145.37 | $264.83 |
| Employee & Spouse/Registered Domestic Partner | 861.42 | 250.33 | 611.09 |
| Employee & Child(ren) | 738.36 | 214.56 | 523.80 |
| Employee & Family | 1,189.58 | 345.68 | 843.90 |
| Blue Shield High Deductible | |||
| Employee Only | $337.64 | $145.37 | $192.27 |
| Employee & Spouse/Registered Domestic Partner | 709.06 | 250.33 | 458.73 |
| Employee & Child(ren) | 607.78 | 214.56 | 393.22 |
| Employee & Family | 979.16 | 345.68 | 633.48 |
| Out of Area Blue Shield PPO | |||
| Employee Only | $347.96 | $129.81 | $218.15 |
| Employee & Spouse/Registered Domestic Partner | 730.74 | 217.66 | 513.08 |
| Employee & Child(ren) | 626.36 | 186.56 | 439.80 |
| Employee & Family | 1,009.12 | 300.57 | 708.55 |
| Out of Area Blue Shield High Deductible | |||
| Employee Only | $299.88 | $135.93 | $163.95 |
| Employee & Spouse/Registered Domestic Partner | 629.72 | 230.50 | 399.22 |
| Employee & Child(ren) | 539.78 | 197.56 | 342.22 |
| Employee & Family | 869.64 | 318.30 | 551.34 |
| Out of Area Blue Shield EPO | |||
| Employee Only | $334.34 | $136.39 | $197.95 |
| Employee & Spouse/Registered Domestic Partner | 702.10 | 231.47 | 470.63 |
| Employee & Child(ren) | 601.79 | 198.40 | 403.39 |
| Employee & Family | 969.55 | 319.64 | 649.91 |
Dental & Vision Costs Per Pay Period
| Total Cost | University Contribution | Your Contribution | ||
|---|---|---|---|---|
| Delta Dental Basic PPO | ||||
| Employee Only | $23.20 | $11.60 | $11.60 | |
| Employee & Spouse/Registered Domestic Partner | 48.70 | 24.35 | 24.35 | |
| Employee & Child(ren) | 41.74 | 20.87 | 20.87 | |
| Employee & Family | 67.26 | 33.63 | 33.63 | |
| Delta Dental Enhanced PPO | ||||
| Employee Only | $28.92 | $11.60 | $17.32 | |
| Employee & Spouse/Registered Domestic Partner | 60.70 | 24.35 | 36.35 | |
| Employee & Child(ren) | 52.04 | 20.87 | 31.17 | |
| Employee & Family | 83.82 | 33.63 | 50.19 | |
| Vision Service Plan (VSP) | ||||
| Employee Only | $6.02 | $0.00 | $6.02 | |
| Employee & Spouse/Registered Domestic Partner | 9.64 | 0.00 | 9.64 | |
| Employee & Child(ren) | 9.84 | 0.00 | 9.84 | |
| Employee & Family | 15.86 | 0.00 | 15.86 | |
