Monthly Plan Costs
Kaiser HMO (CA) (Salary Below $66,560)
Employee Only: $70.32
Employee and Spouse/DP: $842.02
Employee and Child(ren): $415.51
Employee and Family: $1,455.87
Kaiser HMO (CA) (Salary Above $66,560)
Employee Only: $140.64
Employee and Spouse/DP: $877.26
Employee and Child(ren): $433.60
Employee and Family: $1,463.21
UHC Core PPO (Salary Below $66,560)
Employee Only: $79.36
Employee and Spouse/DP: $883.23
Employee and Child(ren): $438.93
Employee and Family: $1,522.65
UHC Core PPO (Salary Above $66,560)
Employee Only: $152.03
Employee and Spouse/DP: $919.36
Employee and Child(ren): $457.20
Employee and Family: $1,529.71
UHC Select Plus (Salary Below $66,560)
Employee Only: $269.45
Employee and Spouse/DP: $1,569.78
Employee and Child(ren): $967.28
Employee and Family: $2,553.63
UHC Select Plus (Salary Above $66,560)
Employee Only: $376.14
Employee and Spouse/DP: $1,676.48
Employee and Child(ren): $967.28
Employee and Family: $2,660.33
Mutual of Omaha Dental
Employee Only: $6.49
Employee and Spouse/DP: $71.52
Employee and Child(ren): $87.21
Employee and Family: $170.59
Mutual of Omaha Vision
Employee Only: $0.43
Employee + 1: $4.31
Employee + 2: $8.14
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 Institute on Aging if your domestic partner is your tax dependent.