2015 Contribution Rates for Part-Time Employees
Medical Plan Costs Per Pay Period
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
|
|---|---|---|---|
| Kaiser Permanente HMO | |||
| Employee Only | $286.74 | $143.37 | $143.37 |
| Employee & Spouse/Registered Domestic Partner | 602.14 | 246.12 | 356.02 |
| Employee & Child(ren) | 516.12 | 210.96 | 305.16 |
| Employee & Family | 831.52 | 339.88 | 491.64 |
| Stanford HealthCare Alliance | |||
| Employee Only | $286.74 | $143.37 | $143.37 |
| Employee & Spouse/Registered Domestic Partner | 602.14 | 246.12 | 356.02 |
| Employee & Child(ren) | 516.12 | 210.96 | 305.16 |
| Employee & Family | 831.52 | 339.88 | 491.64 |
| Blue Shield EPO | |||
| Employee Only | $400.62 | $143.37 | $257.25 |
| Employee & Spouse/Registered Domestic Partner | 841.26 | 246.88 | 594.38 |
| Employee & Child(ren) | 721.08 | 211.61 | 509.47 |
| Employee & Family | 1,161.74 | 340.92 | 820.87 |
| Blue Shield PPO | |||
| Employee Only | $443.82 | $143.37 | $300.45 |
| Employee & Spouse/Registered Domestic Partner | 932.06 | 246.88 | 685.18 |
| Employee & Child(ren) | 798.90 | 211.61 | 587.29 |
| Employee & Family | 1,287.14 | 340.92 | 946.22 |
| Blue Shield High Deductible | |||
| Employee Only | $365.52 | $143.37 | $222.15 |
| Employee & Spouse/Registered Domestic Partner | 767.60 | 246.88 | 520.72 |
| Employee & Child(ren) | 657.94 | 211.61 | 446.33 |
| Employee & Family | 1,060.00 | 340.92 | 719.08 |
Dental & Vision Costs Per Pay Period
| Total Cost | University Contribution | Your Contribution | ||
|---|---|---|---|---|
| Delta Dental Basic PPO | ||||
| Employee Only | $20.46 | $10.23 | $10.23 | |
| Employee & Spouse/Registered Domestic Partner | 42.96 | 21.48 | 21.48 | |
| Employee & Child(ren) | 36.82 | 18.41 | 18.41 | |
| Employee & Family | 59.32 | 29.66 | 29.66 | |
| Delta Dental Enhanced PPO | ||||
| Employee Only | $27.44 | $10.23 | $17.21 | |
| Employee & Spouse/Registered Domestic Partner | 57.60 | 21.48 | 36.12 | |
| Employee & Child(ren) | 49.38 | 18.41 | 30.97 | |
| Employee & Family | 79.54 | 29.66 | 49.88 | |
| 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 | |
