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Employee Contribution Rates

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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

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