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2023 Employee Contributions

The table below illustrates your bi-weekly benefit costs, depending on the level of coverage you choose.

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Plan Employee Only Employee + Spouse Employee + Child(ren) Employee + Family
Nationwide Medical Plans
Anthem Blue Cross HDHP PPO with HSA  $0 $30 $25 $45
Anthem Blue Cross PPO  $50 $225 $200 $340
Dental Plan
Principal Dental $5 $10 $10 $15
Vision Plan
VSP Provided at no cost to you or your dependents
California Only Medical Plans
Anthem Blue Cross HMO (CA Only) $50 $145 $110 $235
Kaiser HMO (N. CA Only) $40 $100 $95 $160
Kaiser HDHP HMO with HSA (N. CA Only) $0 $25 $25 $35
Employer Contributions to Your HSA Per Paycheck Contribution
Employee Only $40.38
Employee + Family $80.76