HEALTH INSURANCE RATES Effective January 1, 2016 Bi-Weekly Rate
Monthly Rate
Pay Comp
Insurance
4090
Kaiser
3090
HMO
4090 3090
(Includes vision coverage)
4085
Western Health
3085
HMO
4085 3085
(Includes vision coverage)
4035
Sutter Health
3035
HMO
4035
(Includes vision coverage)
(F) SETA COST
$390.00
$780.00
3035
(F) EE COST
$447.13
$894.26
4095
Kaiser
(S) SETA COST
$247.50
$495.00
3095
High Deductible
(S) EE COST
$12.40
$24.80
4095
(Vision Optional)
(F) SETA COST
$390.00
$780.00
(F) EE COST
$274.66
$549.32
3095
Coverage (S) SETA COST
$247.50
$495.00
$82.17
$164.34
(F) SETA COST
$390.00
$780.00
(F) EE COST
$453.06
$906.12
(S) SETA COST
$247.50
$495.00
$92.72
$185.44
(F) SETA COST
$390.00
$780.00
(F) EE COST
$481.01
$962.02
(S) SETA COST
$247.50
$495.00
$79.80
$159.60
(S) EE COST
(S) EE COST
(S) EE COST
Total Mo. Premium $659.34 $1,686.12
$680.44 $1,742.02
$654.60 $1,674.26
$519.80 $1,329.32
4087 3087
Western Health High Deductible
(S) SETA COST (S) EE COST
$247.50 $12.50
$495.00 $25.00
4087 3087
(Vision Optional)
(F) SETA COST (F) EE COST
$390.00 $275.60
$780.00 $1,331.20 $551.20
4037
Sutter Health
(S) SETA COST
$247.50
$495.00
3037
Plus
$7.54
$15.08
4037
(Vision Optional)
(F) SETA COST
$390.00
$780.00
(F) EE COST
$262.21
$524.42
3037
(S) EE COST
(Optional) Vision Coverage Available w/ High Deductible Plans and Waived Coverage 3015 Vision Service Plan 3015 Vision Service Plan
(S) EE COST (F) EE COST
4100
Single & Family Coverage - SETA Cost Single & Family Coverage - EE Cost
$2.52 $6.46
$5.04 $12.92
$60.51 $0.00
$121.02 $0.00
$105.00
$210.00
$50.00 $50.00
$100.00 $100.00
Dental Insurance Delta Dental
Insurance Subsidy 2065 Ins. Subsidy-Waived Medical (Selected prior to 1/1/06) 2065 Ins. Subsidy-Waived Medical (Selected 1/1/06 & after) 2070 Ins. Subsidy - New Hire
$520.00
$510.08 $1,304.42
