2015-16 Certificated Insurance Rates and Contributions

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2015-16 Certificated Insurance Rates and Contributions
2015-16 CERTIFICATED INSURANCE RATES AND CONTRIBUTIONS (Tenthly Rates)
Anthem Blue Cross 80-E PPO 1
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $439.03
Employee pays $801.59
Employee pays $1030.26
District contribution
District contribution
District contribution
$320.57
$687.61
$1064.94
Anthem Blue Cross 80-G PPO 2
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $385.03
Employee pays $692.39
Employee pays $874.26
District contribution
District contribution
District contribution
$320.57
$687.61
$1064.94
Anthem Blue Cross 80-M PPO 3
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $238.63
Employee pays $400.79
Employee pays $459.06
District contribution
District contribution
District contribution
$320.57
$687.61
$1064.94
Kaiser Permanente HMO
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $273.43
Employee pays $485.99
Employee pays $587.46
District contribution
District contribution
District contribution
$320.57
$687.61
$1064.94
Anthem Blue Cross HDHP* (HSA)
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $256.63
Employee pays $466.79
Employee pays $580.26
District contribution
District contribution
District contribution
$320.57
$687.61
$1064.94
Vision Service Plan (VSP)
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $ -0Employee pays $ 8.46
Employee pays $ 19.50
District contribution
District contribution
District contribution
$ 11.04
$ 13.62
$ 13.62
Delta Dental Premier PPO
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $ 25.15
Employee pays $ 94.75
Employee pays $156.67
District contribution
District contribution
District contribution
$ 39.65
$ 39.65
$ 39.65
*High Deductible Health Plan

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