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Benefits Rates

 

 

Benefits Rates

2017 Benefit Rates (pdf)

 

 

Employee Contribution* Per Pay Period

SCU Contribution Per Pay Period

Total Cost Per Pay Period

Total Cost Per Month

BLUE CROSS HMO MEDICAL - Silver Option        
Employee Only $13.12 $388.34 $401.46 $802.92 
EE+ One Dependent $97.99  $745.12  $843.11  $1,686.22 
EE+ Two or More Dependents $173.20  $1,031.28  $1,204.48  $2,408.95 
BLUE CROSS HMO MEDICAL - Gold Option        
Employee Only $42.33  $421.23  $463.56  $927.12 
EE+ One Dependent $162.97  $810.51  $973.48  $1,946.96 
EE+ Two or More Dependents $253.60  $1,137.11  $1,390.71  $2,781.42 
BLUE CROSS PPO (High Deductible HSA) MEDICAL        
Employee Only $38.45  $510.41  $548.86  $1,097.71 
EE+ One Dependent $131.32  $1,011.18  $1,142.50  $2,284.99 
EE+ Two or More Dependents $207.30  $1,424.64  $1,631.94  $3,263.88 
KAISER HEALTH PLAN - Silver Plan        
Employee Only $13.12  $300.20  $313.32  $626.63 
EE+ One Dependent $97.99  $528.64  $626.63  $1,253.25 
EE+ Two or More Dependents $173.20  $713.48  $886.68  $1,773.35 
KAISER HEALTH PLAN - Gold Plan        
Employee Only $22.65  $300.88  $323.53  $647.06 
EE+ One Dependent $127.13  $519.93  $647.06  $1,294.11 
EE+ Two or More Dependents $191.24  $724.34  $915.58  $1,831.16 
DELTA DENTAL PLAN        
Employee Only $0.00  $38.58  $38.58  $77.16 
EE+ One Dependent $9.21  $52.94  $62.15  $124.30 
EE+ Two or More Dependents $21.05  $71.42  $92.47  $184.94 
BLUE VIEW VISION PLAN        
Employee Only $2.18  $2.37  $4.55  $9.10 
EE+ One Dependent $3.02  $3.62  $6.64  $13.28 
EE+ Two or More Dependents $5.08  $6.70  $11.78  $23.56 

 

 * All employees and dependent contributions are automatically payroll deducted on a pre-tax basis. Faculty and staff who do not wish to have contributions deducted on a pre-tax basis must sign a waiver form available in Human Resources. If at any time, payroll deductions cannot be withheld automatically, those underwithheld contributions will be placed into an arrears account and will automatically restart when pay resumes.