Plan Costs

UHC HSA HDHP

Weekly
Employee only: $32
Employee + Spouse: $59
Employee + Children: $48
Employee + Family: $99

Bi-Weekly
Employee only: $64
Employee + Spouse: $118
Employee + Children: $97
Employee + Family: $198

UHC Base PPO Plan

Weekly
Employee only: $41
Employee + Spouse: $79
Employee + Children: $65
Employee + Family: $127

Bi-Weekly
Employee only: $82
Employee + Spouse: $158
Employee + Children: $129
Employee + Family: $253

UHC Buy Up PPO Plan

Weekly
Employee only: $68
Employee + Spouse: $140
Employee + Children: $110
Employee + Family: $211

Bi-Weekly
Employee only: $136
Employee + Spouse: $280
Employee + Children: $221
Employee + Family: $423

Kaiser Deductible HMO Plan (CA Only)

Weekly
Employee only: $49
Employee + Spouse: $115
Employee + Children: $105
Employee + Family: $166

Bi-Weekly
Employee only: $99
Employee + Spouse: $231
Employee + Children: $210
Employee + Family: $333

UHC Dental & VSP Vision

Weekly
Employee only: $5
Employee + Spouse: $11
Employee + Children: $12
Employee + Family: $18

Bi-Weekly
Employee only: $11
Employee + Spouse: $23
Employee + Children: $24
Employee + Family: $35

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 Pentagon Technologies if your domestic partner is your tax dependent.