Per Pay Period Plan Costs
Cigna HDHP
Employee Only: $0.00
Employee and Spouse/DP: $165.98
Employee and Child(ren): $135.80
Employee and Family: $301.78
Cigna PPO
Employee Only: $57.30
Employee and Spouse/DP: $277.92
Employee and Child(ren): $237.81
Employee and Family: $458.42
Kaiser HDHP
Employee Only: $0.00
Employee and Spouse/DP: $165.98
Employee and Child(ren): $135.80
Employee and Family: $301.78
Kaiser DHMO
Employee Only: $57.30
Employee and Spouse/DP: $277.92
Employee and Child(ren): $237.81
Employee and Family: $458.42
MetLife Dental PPO
Employee Only: $2.00
Employee and Spouse/DP: $19.50
Employee and Child(ren): $22.50
Employee and Family: $44.00
EyeMed Vision
Employee Only: $0.38
Employee and Spouse: $2.90
Employee and Child(ren): $3.18
Employee and Family: $5.81
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 Exterro if your domestic partner is your tax dependent.