2016 Employee Rates
Medical Plans
1
Kaiser Permanente HMO
Monthly
Employee Only
Two Party
Family
$44.49
$186.86
$400.41
Dental Plans2
$5.76
$18.52
$30.00
Vision Plans
$22.25
$93.43
$200.21
Monthly
Bi-Weekly
$2.66
$8.55
$13.85
Bi-Weekly
$50.61
$212.56
$455.07
Monthly
$0.00
$1.36
$3.05
Bi-Weekly
$0.00
$0.63
$1.41
Anthem Lumenos HDHP
Semi-Monthly
$23.36
$98.10
$210.03
$25.31
$106.28
$227.54
Monthly
$58.17
$244.56
$525.46
Bi-Weekly
$26.85
$112.87
$242.52
Semi-Monthly
$29.09
$122.28
$262.73
Met Life Dental PPO
Semi-Monthly
$2.88
$9.26
$15.00
Monthly
Bi-Weekly
$62.77
$139.51
$209.28
Vision Core
Employee Only
Two Party
Family
1
Semi-Monthly
$20.53
$86.24
$184.80
Met Life Dental DHMO
Monthly
Employee Only
Two Party
Family
Bi-Weekly
Anthem Blue Cross HMO
(California Care)
$28.97
$64.39
$96.59
Semi-Monthly
$31.39
$69.76
$104.64
Vision Buy-Up
Semi-Monthly
$0.00
$0.68
$1.53
Monthly
Bi-Weekly
$4.48
$7.57
$12.53
$2.07
$3.49
$5.78
Semi-Monthly
$2.24
$3.79
$6.27
Imputed income taxation applies when enrolling a domestic partner; please see your benefits representative for additional information.
employees pay 100% of the premium for dental coverage.
2 RSABG
Monthly Supplemental Life Insurance
Rates
Monthly Accidental Death &
Dismemberment Insurance (AD&D) Rates
Rates for employees and spouse/domestic partner are based on the
employee’s age as of January 1, 2016.
Coverage amounts in excess of $250,000 may not exceed 10
times annual base salary to a maximum of $500,000. Principal
sum amount cannot be increased after age 70. Coverage for
children is 30% of the principal sum up to a maximum of $50,000.
Age
Monthly Rate (per $1,000 of coverage)
Under 30
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70 +
$0.03
$0.04
$0.06
$0.10
$0.15
$0.23
$0.41
$0.63
$1.27
$2.06
Dependent Child(ren) Life Insurance: $0.35 per month for $5,000 of coverage.
Principal Sum
Employee Only
Coverage
Family Coverage
$25,000
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$425,000
$450,000
$475,000
$500,000
$0.50
$1.00
$1.50
$2.00
$2.50
$3.00
$3.50
$4.00
$4.50
$5.00
$5.50
$6.00
$6.50
$7.00
$7.50
$8.00
$8.50
$9.00
$9.50
$10.00
$0.98
$1.95
$2.93
$3.90
$4.88
$5.85
$6.83
$7.80
$8.78
$9.75
$10.73
$11.70
$12.68
$13.65
$14.63
$15.60
$16.58
$17.55
$18.53
$19.50