2015 Contribution Rates for Full-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 | $286.74 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | 602.14 | 492.24 | 109.90 | |
| Employee & Child(ren) | 516.12 | 421.92 | 94.20 | |
| Employee & Family | 831.52 | 679.76 | 151.76 | |
| Stanford HealthCare Alliance | ||||
| Employee Only | $286.74 | $286.74 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | 602.14 | 492.24 | 109.90 | |
| Employee & Child(ren) | 516.12 | 421.92 | 94.20 | |
| Employee & Family | 831.52 | 679.76 | 151.76 | |
| Blue Shield EPO | ||||
| Employee Only | $400.62 | $286.74 | $113.88 | |
| Employee & Spouse/Registered Domestic Partner | 841.26 | 493.76 | 347.50 | |
| Employee & Child(ren) | 721.08 | 423.22 | 297.86 | |
| Employee & Family | 1,161.74 | 681.84 | 479.90 | |
| Blue Shield PPO | ||||
| Employee Only | $443.82 | $286.74 | $157.08 | |
| Employee & Spouse/Registered Domestic Partner | 932.06 | 493.76 | 438.30 | |
| Employee & Child(ren) | 798.90 | 423.22 | 375.68 | |
| Employee & Family | 1,287.14 | 681.84 | 605.30 | |
| Blue Shield High Deductible | ||||
| Employee Only | $365.52 | $286.74 | $78.78 | |
| Employee & Spouse/Registered Domestic Partner | 767.60 | 493.76 | 273.84 | |
| Employee & Child(ren) | 657.94 | 423.22 | 234.72 | |
| Employee & Family | 1,060.00 | 681.84 | 378.16 | |
Dental & Vision Costs Per Pay Period
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Delta Dental Basic PPO | ||||
| Employee Only | $20.46 | $20.46 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | 42.96 | 42.96 | 0.00 | |
| Employee & Child(ren) | 36.82 | 36.82 | 0.00 | |
| Employee & Family | 59.32 | 59.32 | 0.00 | |
| Delta Dental Enhanced PPO | ||||
| Employee Only | $27.44 | $20.46 | $6.98 | |
| Employee & Spouse/Registered Domestic Partner | 57.60 | 42.96 | 14.64 | |
| Employee & Child(ren) | 49.38 | 36.82 | 12.56 | |
| Employee & Family | 79.54 | 59.32 | 20.22 | |
| 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 | |
