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2021 Medical Plan Costs Per Pay Period for Full-Time Active Employees
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Kaiser Permanente HMO | ||||
| Employee Only | $392.33 | $392.33 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | $823.89 | $671.91 | $151.99 | |
| Employee & Child(ren) | $706.21 | $575.94 | $130.28 | |
| Employee & Family | $1,137.75 | $927.86 | $209.89 | |
| Trio, by Blue Shield | ||||
| Employee Only | $398.82 | $368.82 | $30.00 | |
| Employee & Spouse/Registered Domestic Partner | $837.51 | $605.19 | $232.32 | |
| Employee & Child(ren) | $717.87 | $516.09 | $201.78 | |
| Employee & Family | $1,156.56 | $854.78 | $301.78 | |
| Stanford Health Care Alliance (SHCA) | ||||
| Employee Only | $611.93 | $563.93 | $48.00 | |
| Employee & Spouse/Registered Domestic Partner | $1,285.02 | $978.36 | $306.66 | |
| Employee & Child(ren) | $1,101.46 | $835.11 | $266.35 | |
| Employee & Family | $1,774.56 | $1,376.21 | $398.35 | |
| Healthcare + Savings Plan | ||||
| Employee Only | $478.77 | $438.77 | $40.00 | |
| Employee & Spouse/Registered Domestic Partner | $1,005.40 | $719.48 | $285.92 | |
| Employee & Child(ren) | $861.78 | $617.06 | $244.72 | |
| Employee & Family | $1,388.41 | $993.99 | $394.42 | |
| ACA Basic High Deductible Health Plan | ||||
| Employee Only | $285.62 | $261.36 | $24.26 | |
| Employee & Spouse/Registered Domestic Partner | $599.78 | $424.46 | $175.32 | |
| Employee & Child(ren) | $514.10 | $363.81 | $150.29 | |
| Employee & Family | $828.27 | $586.17 | $242.10 | |
| Healthcare + Savings Out of Area Plan | ||||
| Employee Only | $405.18 | $394.14 | $11.04 | |
| Employee & Spouse/Registered Domestic Partner | $850.86 | $650.07 | $200.79 | |
| Employee & Child(ren) | $729.30 | $557.45 | $171.85 | |
| Employee & Family | $1,174.97 | $897.98 | $276.99 | |
2021 Dental & Vision Costs Per Pay Period for Full-Time Active Employees
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Delta Dental Basic PPO | ||||
| Employee Only | $17.66 | $17.66 | $0.00 | |
| Employee & Spouse/Registered Domestic Partner | $37.07 | $37.07 | 0.00 | |
| Employee & Child(ren) | $31.78 | $31.78 | 0.00 | |
| Employee & Family | $51.20 | $51.20 | 0.00 | |
| Delta Dental Enhanced PPO | ||||
| Employee Only | $30.23 | $17.66 | $12.57 | |
| Employee & Spouse/Registered Domestic Partner | $63.48 | $37.07 | $26.41 | |
| Employee & Child(ren) | $54.41 | $31.78 | $22.63 | |
| Employee & Family | $87.66 | $51.20 | $36.46 | |
| VSP Vision Care | ||||
| Employee Only | $5.61 | $0.00 | $5.61 | |
| Employee & Spouse/Registered Domestic Partner | $8.99 | 0.00 | $8.99 | |
| Employee & Child(ren) | $9.18 | 0.00 | $9.18 | |
| Employee & Family | $14.79 | 0.00 | $14.79 | |
2021 Medical Plan Costs Per Pay Period for Part-Time Employees
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Kaiser Permanente HMO | ||||
| Employee Only | $392.33 | $196.17 | $196.16 | |
| Employee & Spouse/Registered Domestic Partner | $823.89 | $335.96 | $487.93 | |
| Employee & Child(ren) | $706.21 | $287.97 | $418.24 | |
| Employee & Family | $1,137.75 | $463.93 | $673.82 | |
| Trio | ||||
| Employee Only | $398.82 | $196.17 | $202.65 | |
| Employee & Spouse/Registered Domestic Partner | $837.51 | $335.96 | $501.55 | |
| Employee & Child(ren) | $717.87 | $287.97 | $429.90 | |
| Employee & Family | $1,156.56 | $463.93 | $692.63 | |
| Stanford Health Care Alliance (SHCA) | ||||
| Employee Only | $611.93 | $196.17 | $415.76 | |
| Employee & Spouse/Registered Domestic Partner | $1,285.02 | $335.96 | $949.07 | |
| Employee & Child(ren) | $1,101.46 | $287.97 | $813.49 | |
| Employee & Family | $1,774.56 | $463.93 | $1,310.63 | |
| Healthcare + Savings Plan | ||||
| Employee Only | $478.77 | $196.17 | $282.60 | |
| Employee & Spouse/Registered Domestic Partner | $1,005.40 | $335.96 | $669.44 | |
| Employee & Child(ren) | $861.78 | $287.97 | $573.81 | |
| Employee & Family | $1,388.41 | $463.93 | $924.48 | |
| ACA Basic High Deductible Health Plan | ||||
| Employee Only | $285.62 | $130.68 | $154.94 | |
| Employee & Spouse/Registered Domestic Partner | $599.78 | $212.23 | $387.55 | |
| Employee & Child(ren) | $514.10 | $181.91 | $332.19 | |
| Employee & Family | $828.27 | $293.09 | $535.19 | |
| Healthcare + Savings Out of Area Plan | ||||
| Employee Only | $405.18 | $196.17 | $209.01 | |
| Employee & Spouse/Registered Domestic Partner | $850.86 | $335.96 | $514.90 | |
| Employee & Child(ren) | $729.30 | $287.97 | $441.33 | |
| Employee & Family | $1,174.97 | $463.93 | $711.04 | |
2021 Dental & Vision Costs Per Pay Period for Part-Time Employees
| Semi-Monthly Total Cost |
Semi-Monthly University Contribution |
Semi-Monthly Your Contribution |
||
|---|---|---|---|---|
| Delta Dental Basic PPO | ||||
| Employee Only | $17.66 | $8.83 | $8.83 | |
| Employee & Spouse/Registered Domestic Partner | $37.07 | $18.54 | $18.54 | |
| Employee & Child(ren) | $31.78 | $15.89 | $15.89 | |
| Employee & Family | $51.20 | $25.60 | $25.60 | |
| Delta Dental Enhanced PPO | ||||
| Employee Only | $30.23 | $8.83 | $21.40 | |
| Employee & Spouse/Registered Domestic Partner | $63.48 | $18.54 | $44.94 | |
| Employee & Child(ren) | $54.41 | $15.89 | $38.52 | |
| Employee & Family | $87.66 | $25.60 | $62.06 | |
| VSP Vision Care | ||||
| Employee Only | $5.61 | $0.00 | $5.61 | |
| Employee & Spouse/Registered Domestic Partner | $8.99 | 0.00 | $8.99 | |
| Employee & Child(ren) | $9.18 | 0.00 | $9.18 | |
| Employee & Family | $14.79 | 0.00 | $14.79 | |
