This page shows the amount you’ll pay for your benefits each pay period, based on 26 pay periods per year.
Medical
Employee only
Plan | Full time | Part time |
---|
BSC PPO HSA 3500 | $0.00 | $77.78 |
BSC PPO HSA 1600 | $14.04 | $117.69 |
BSC PPO 1000 | $28.67 | $158.89 |
BSC PPO HSA 6350 (interns) | $73.37 | N/A |
Kaiser 1000 (California) | $22.51 | $90.00 |
Employee + spouse or domestic partner
Plan | Full time | Part time |
---|
BSC PPO HSA 3500 | $20.17 | $171.12 |
BSC PPO HSA 1600 | $49.54 | $258.92 |
BSC PPO 1000 | $132.99 | $349.55 |
BSC PPO HSA 6350 (interns) | $294.63 | N/A |
Kaiser 1000 (California) | $89.29 | $188.99 |
Employee + child(ren)
Plan | Full time | Part time |
---|
BSC PPO HSA 3500 | $16.50 | $140.01 |
BSC PPO HSA 1600 | $42.96 | $211.84 |
BSC PPO 1000 | $89.82 | $285.99 |
BSC PPO HSA 6350 (interns) | $294.63 | N/A |
Kaiser 1000 (California) | $72.28 | $152.99 |
Employee + family
Plan | Full time | Part time |
---|
BSC PPO HSA 3500 | $60.52 | $233.35 |
BSC PPO HSA 1600 | $123.78 | $353.07 |
BSC PPO 1000 | $170.07 | $476.66 |
BSC PPO HSA 6350 (interns) | $389.46 | N/A |
Kaiser HMO 1000 (California) | $145.06 | $211.14 |
Dental
Delta Dental cost per pay period
Coverage level | Full time | Part time |
---|
Employee only | $0 | $10.06 |
Employee + spouse or domestic partner | $18.72 | $22.14 |
Employee + child(ren) | $15.32 | $18.11 |
Employee + family | $25.53 | $30.18 |
Vision
EyeMed cost per pay period
Coverage level | Full time | Part time |
---|
Employee only | $0 | $2.40 |
Employee + spouse or domestic partner | $4.87 | $5.28 |
Employee + child(ren) | $3.98 | $4.32 |
Employee + family | $6.64 | $7.20 |
VSP cost per pay period
Coverage level | Full time | Part time |
---|
Employee only | $1.84 | $3.46 |
Employee + spouse or domestic partner | $7.56 | $7.62 |
Employee + child(ren) | $6.18 | $6.24 |
Employee + family | $10.31 | $10.39 |
Supplemental life insurance
Cost per pay period (per $1,000 in coverage)
Child life insurance (for any age) is $0.0923 per $1,000 in coverage.
Age | Employee or spouse |
---|
< 24 | $0.0240 |
25–29 | $0.0277 |
30–34 | $0.0323 |
35–39 | $0.0369 |
40–44 | $0.0554 |
45–49 | $0.0692 |
50–54 | $0.1472 |
55–59 | $0.2677 |
60–64 | $0.3923 |
65–69 | $0.7846 |
70–74 | $1.2462 |
75+ | $2.4462 |
Supplemental AD&D insurance
Cost per pay period (per $1,000 in coverage)
Employee | $0.01385 |
Spouse | $0.01385 |
Accident insurance
Cost per pay period
Coverage level | Base | Premier |
---|
Employee only | $1.86 | $3.25 |
Employee + spouse or domestic partner | $3.22 | $5.54 |
Employee + child(ren) | $3.93 | $6.55 |
Employee + family | $5.30 | $8.86 |
Critical illness insurance
Cost per pay period
Child coverage is included with employee coverage.
$10,000 employee coverage, $5,000 spouse/domestic partner coverage
Age | Employee | Spouse/domestic partner |
---|
<25 | $1.36 | $1.08 |
25–29 | $1.55 | $1.18 |
30–34 | $1.96 | $1.38 |
35–39 | $2.33 | $1.57 |
40–44 | $3.02 | $1.92 |
45–49 | $3.67 | $2.24 |
50–54 | $5.28 | $3.05 |
55–59 | $6.85 | $3.83 |
60–64 | $9.35 | $5.08 |
65-69 | $13.04 | $6.92 |
70-74 | $19.04 | $9.92 |
75-79 | $25.59 | $13.20 |
80-84 | $30.39 | $15.60 |
85+ | $44.10 | $22.45 |
$20,000 employee coverage, $10,000 spouse/domestic partner coverage
Age | Employee | Spouse/domestic partner |
---|
<25 | $1.92 | $1.36 |
25–29 | $2.28 | $1.55 |
30–34 | $3.12 | $1.96 |
35–39 | $3.85 | $2.33 |
40–44 | $5.24 | $3.02 |
45–49 | $6.53 | $3.67 |
50–54 | $9.76 | $5.28 |
55–59 | $12.90 | $6.85 |
60–64 | $17.88 | $9.35 |
65-69 | $25.27 | $13.04 |
70-74 | $37.27 | $19.04 |
75-79 | $50.38 | $25.59 |
80-84 | $59.98 | $30.39 |
85+ | $87.39 | $44.10 |
$30,000 employee coverage, $15,000 spouse/domestic partner coverage
Age | Employee | Spouse/domestic partner |
---|
<25 | $2.47 | $1.64 |
25–29 | $3.02 | $1.92 |
30–34 | $4.27 | $2.54 |
35–39 | $5.38 | $3.09 |
40–44 | $7.45 | $4.13 |
45–49 | $9.39 | $5.10 |
50–54 | $14.24 | $7.52 |
55–59 | $18.95 | $9.88 |
60–64 | $26.42 | $13.62 |
65-69 | $37.50 | $19.15 |
70-74 | $55.50 | $28.15 |
75-79 | $75.16 | $37.98 |
80-84 | $89.56 | $45.18 |
85+ | $130.68 | $65.75 |
Long-term disability
Cost per pay period
LTD (60% income replacement): $0
LegalShield and IDShield
Cost per pay period
| Employee only | Employee + family |
---|
LegalShield | $7.65 | $14.45 |
IDShield | $4.13 | $7.82 |
LegalShield + IDShield | $11.15 | $16.50 |