Plan Costs
UHC HSA HDHP
Weekly
Employee only: $35.08
Employee + Spouse: $64.85
Employee + Children: $53.08
Employee + Family: $108.69
Bi-Weekly
Employee only: $70.15
Employee + Spouse: $129.69
Employee + Children: $106.15
Employee + Family: $217.38
UHC Base PPO Plan
Weekly
Employee only: $44.66
Employee + Spouse: $85.93
Employee + Children: $70.33
Employee + Family: $138.42
Bi-Weekly
Employee only: $89.33
Employee + Spouse: $171.87
Employee + Children: $140.65
Employee + Family: $276.84
UHC Buy Up PPO Plan
Weekly
Employee only: $77.08
Employee + Spouse: $158.31
Employee + Children: $124.85
Employee + Family: $238.85
Bi-Weekly
Employee only: $154.15
Employee + Spouse: $316.62
Employee + Children: $249.69
Employee + Family: $477.69
Kaiser Deductible HMO Plan (CA Only)
Weekly
Employee only: $50.77
Employee + Spouse: $118.62
Employee + Children: $108.00
Employee + Family: $171.23
Bi-Weekly
Employee only: $101.54
Employee + Spouse: $237.23
Employee + Children: $216.00
Employee + Family: $342.46
UHC Dental
Weekly
Employee only: $5.57
Employee + Spouse: $11.54
Employee + Children: $12.01
Employee + Family: $17.95
Bi-Weekly
Employee only: $11.15
Employee + Spouse: $23.07
Employee + Children: $24.01
Employee + Family: $35.90
VSP Vision
Weekly
Employee only: $0.10
Employee + Spouse: $0.21
Employee + Children: $0.22
Employee + Family: $0.36
Bi-Weekly
Employee only: $0.21
Employee + Spouse: $0.42
Employee + Children: $0.45
Employee + Family: $0.72
Voluntary Accident Insurance
Weekly
Employee only: $2.11
Employee + Spouse: $3.37
Employee + Children: $4.19
Employee + Family: $6.47
Bi-Weekly
Employee only: $4.23
Employee + Spouse: $6.75
Employee + Children: $8.38
Employee + Family: $12.93
Voluntary Hospital Indemnity
Weekly
Employee only: $3.02
Employee + Spouse: $7.17
Employee + Children: $5.74
Employee + Family: $10.52
Bi-Weekly
Employee only: $6.03
Employee + Spouse: $14.34
Employee + Children: $11.47
Employee + Family: $21.03
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.