Per-Pay-Period Plan Costs
Aetna HDHP
Employee Only: $0.00
Employee and Spouse/DP: $55.50
Employee and Child(ren): $45.50
Employee and Family: $83.00
Aetna POS/PPO
Employee Only: $24.50
Employee and Spouse/DP: $112.50
Employee and Child(ren): $92.00
Employee and Family: $162.50
Aetna EPO
Employee Only: $19.00
Employee and Spouse/DP: $84.00
Employee and Child(ren): $69.00
Employee and Family: $124.50
Kaiser HMO
Employee Only: $17.00
Employee and Spouse/DP: $74.50
Employee and Child(ren): $68.00
Employee and Family: $101.50
Guardian Dental PPO
Employee Only: $0.00
Employee and Spouse/DP: $1.50
Employee and Child(ren): $2.50
Employee and Family: $3.50
Guardian Dental PPO w/ Ortho
Employee Only: $13.00
Employee and Spouse/DP: $24.50
Employee and Child(ren): $26.00
Employee and Family: $39.00
Guardian Vision (Base)
Employee Only: $0.00
Employee and Spouse/DP: $1.50
Employee and Child(ren): $2.50
Employee and Family: $4.00
Guardian Vision (Buy-Up)
Employee Only: $3.00
Employee and Spouse/DP: $5.50
Employee and Child(ren): $7.00
Employee and Family: $10.00
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 Addepar if your domestic partner is your tax dependent.