The following charts show your cost of coverage for 2027. Medical contribution amounts shown below do not include the following surcharges which may apply to you.
- Tobacco/nicotine surcharge– If you certify as a tobacco/nicotine user, you will pay an additional $650 annually ($25 per paycheck) for your Cotality medical plan.
- Working spouse surcharge - If you cover a spouse or domestic partner that is offered medical coverage through their employer, you will pay an additional $1,950 annually ($75 per paycheck) for your Cotality medical plan.
| Bi-Weekly Medical Contributions - HS Completed* |
|
Employee Only |
Employee + Spouse/ Domestic Partner |
Employee + Child(ren) |
Employee + Family |
| Anthem Consumer Choice HDHP |
$100.00 |
$218.00 |
$189.00 |
$314.50 |
| Anthem Exclusive Care EPO |
$159.50 |
$418.00 |
$329.50 |
$597.00 |
| Anthem Basic HDHP |
$52.50 |
$198.00 |
$173.00 |
$285.50 |
| Kaiser CA HMO |
$125.00 |
$317.00 |
$250.50 |
$459.50 |
| Kaiser CA HDHP HMO |
$100.50 |
$256.50 |
$201.50 |
$375.00 |
| Kaiser NW |
$130.00 |
$354.00 |
$276.50 |
$519.00 |
| Kaiser NW High Deductible HMO |
$102.00 |
$278.50 |
$215.00 |
$412.00 |
* Note – These contributions assume you complete the Health Screening before November 15, 2026.
| Bi-Weekly Medical Contributions - No HS |
|
Employee Only |
Employee + Spouse/ Domestic Partner |
Employee + Child(ren) |
Employee + Family |
| Anthem Consumer Choice HDHP |
$110.00 |
$228.00 |
$199.00 |
$324.50 |
| Anthem Exclusive Care EPO |
$169.50 |
$428.00 |
$339.50 |
$607.00 |
| Anthem Basic HDHP |
$62.50 |
$208.00 |
$183.00 |
$295.50 |
| Kaiser CA HMO |
$135.00 |
$327.00 |
$260.50 |
$469.50 |
| Kaiser CA HDHP HMO |
$110.50 |
$266.50 |
$211.50 |
$385.00 |
| Kaiser NW |
$140.00 |
$364.00 |
$286.50 |
$529.00 |
| Kaiser NW High Deductible HMO |
$112.00 |
$288.50 |
$225.00 |
$422.00 |
| Bi-Weekly Dental |
|
|
|
|
|
Employee Only |
Employee + Spouse/ Domestic Partner |
Employee + Child(ren) |
Employee + Family |
| Aetna DMO |
$3.00 |
$6.00 |
$5.00 |
$10.50 |
| Delta PPO |
$6.50 |
$15.00 |
$13.00 |
$22.50 |
| Bi-Weekly Vision |
|
|
|
|
|
Employee Only |
Employee + Spouse/ Domestic Partner |
Employee + Child(ren) |
Employee + Family |
| VSP |
$3.32 |
$4.72 |
$5.60 |
$8.90 |
| VSP Plus |
$5.77 |
$8.20 |
$9.72 |
$15.54 |
| Life Insurance (per $1,000 of coverage, per month) |
|
For You |
For Your Spouse/
Domestic Partner |
| <20 |
$0.042 |
$0.050 |
| 20-24 |
$0.042 |
$0.050 |
| 25-29 |
$0.050 |
$0.060 |
| 30-34 |
$0.067 |
$0.080 |
| 35-39 |
$0.075 |
$0.090 |
| 40-44 |
$0.084 |
$0.100 |
| 45-49 |
$0.134 |
$0.160 |
| 50-54 |
$0.226 |
$0.270 |
| 55-59 |
$0.369 |
$0.440 |
| 60-64 |
$0.612 |
$0.730 |
| 65-69 |
$1.090 |
$1.300 |
| 70+ |
$1.979 |
$2.360 |
| For Your Children |
| $5,000 |
$0.62 |
|
| $10,000 |
$1.25 |
|
| AD&D (per $1,000 of coverage, per month) |
| Employee Only |
$0.020 |
|
Family
(includes you, your spouse or domestic partner and your children) |
|
$0.025 |
| Long-Term Disability |
| Benefit Coverage - Employee Only Buy-Up LTD |
Monthly Rate Per $100 Covered Payroll |
| < 35 |
$0.188 |
| 35 - 44 |
$0.313 |
| 45 - 54 |
$0.421 |
| 55 or older |
$0.453 |