Plan Costs
Aetna PPO
Employee Only: $18.50
Employee and Spouse/DP: $98.50
Employee and Child(ren): $81.00
Employee and Family: $145.00
Aetna EPO
Employee Only: $17.00
Employee and Spouse/DP: $75.00
Employee and Child(ren): $61.50
Employee and Family: $111.00
Aetna HDHP
Employee Only: $0.00
Employee and Spouse/DP: $49.50
Employee and Child(ren): $40.50
Employee and Family: $74.00
Kaiser HMO
Employee Only: $17.00
Employee and Spouse/DP: $74.00
Employee and Child(ren): $67.50
Employee and Family: $101.00
Guardian Dental PPO
Employee Only: $0.00
Employee and Spouse/DP: $1.50
Employee and Child(ren): $2.50
Employee and Family: $3.50
Guardian Dental PPO w/ Ortho
Employee Only: $12.00
Employee and Spouse/DP: $23.00
Employee and Child(ren): $24.50
Employee and Family: $36.50
Guardian Vision (Base)
Employee Only: $0.00
Employee and Spouse/DP: $1.00
Employee and Child(ren): $2.00
Employee and Family: $3.00
Guardian Vision (Buy-Up)
Employee Only: $2.00
Employee and Spouse/DP: $4.00
Employee and Child(ren): $5.00
Employee and Family: $7.00
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 Addepar if your domestic partner is your tax dependent.