Bi-Weekly Plan Costs (California)

Blue Shield PPO $1,000

Employee Only: $111.33

Employee + 1: $233.74

Employee + 2 or more: $333.91

Blue Shield HMO

Employee Only: $94.05

Employee + 1: $197.52

Employee + 2 or more: $282.16

Blue Shield Trio HMO

Employee Only: $64.21

Employee + 1: $134.85

Employee + 2 or more: $192.64

Kaiser HMO

Employee Only: $97.16

Employee + 1: $204.03

Employee + 2 or more: $291.47

Kaiser Deductible HMO

Employee Only: $85.56

Employee + 1: $179.68

Employee + 2 or more: $256.68

Delta Dental PPO

Employee Only: $6.72

Employee + 1: $13.44

Employee + 2 or more: $16.58

Delta Dental HMO

Employee Only:  $1.88 

Employee + 1:  $3.63 

Employee + 2 or more:  $5.34 

Blue Shield/MES Vision

Employee Only:  $5.49 

Employee + 1:  $8.78

Employee + 2 or more:  $14.25

Bi-Weekly Plan Costs (Non-California)

Blue Shield PPO $1,000

Employee Only: $123.71

Employee + 1: $260.24

Employee + 2 or more: $370.52

Blue Shield PPO $0

Employee Only: $138.02

Employee + 1: $289.83

Employee + 2 or more: $414.05

Delta Dental PPO

Employee Only:  $6.72 

Employee + 1:  $13.44 

Employee + 2 or more:  $16.58 

Blue Shield/MES Vision

Employee Only: $5.49

Employee + 1: $8.78 

Employee + 2 or more: $14.25

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 Bradshaw Home if your domestic partner is your tax dependent.

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