
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 |