BackBenefits at a Glance
Medical - Biweekly Contributions
Dental - Biweekly Contributions
Vision - Biweekly Contributions
Overview of Available Plans
Review the benefits available to you and your dependents, compare plan options, and make informed enrollment decisions.
Choosing the Right Plan
| Benefit Type | Plan Name | Carrier |
|---|---|---|
| Medical | UNITED HEALTHCARE PPO $2,500 | United Healthcare |
| Medical | UNITED HEALTHCARE HDHP $2,900 | United Healthcare |
| Medical | KAISER HMO (CALIFORNIA ONLY) | Kaiser |
| Medical | KAISER HMO (NORTHWEST OR/S WA) | Kaiser |
| Dental | DENTAL BASE | MetLife |
| Dental | DENTAL BUY-UP | MetLife |
| Vision | VSP VISION | VSP |
Medical
- Plan Name
- UNITED HEALTHCARE PPO $2,500
- Carrier
- United Healthcare
Medical
- Plan Name
- UNITED HEALTHCARE HDHP $2,900
- Carrier
- United Healthcare
Medical
- Plan Name
- KAISER HMO (CALIFORNIA ONLY)
- Carrier
- Kaiser
Medical
- Plan Name
- KAISER HMO (NORTHWEST OR/S WA)
- Carrier
- Kaiser
Dental
- Plan Name
- DENTAL BASE
- Carrier
- MetLife
Dental
- Plan Name
- DENTAL BUY-UP
- Carrier
- MetLife
Vision
- Plan Name
- VSP VISION
- Carrier
- VSP
| Plan | EMPLOYEE ONLY | EMPLOYEE + SPOUSE | EMPLOYEE + CHILD(REN) | EMPLOYEE + FAMILY |
|---|---|---|---|---|
| United Healthcare PPO $2,500 | $95.37 | $199.95 | $181.76 | $272.66 |
| United Healthcare HDHP $2,900 | $65.40 | $201.40 | $183.09 | $274.64 |
| Kaiser California (Northern California) | $247.17 | $609.52 | $524.65 | $799.50 |
| Kaiser California (Southern California) | $297.86 | $719.62 | $624.36 | $943.91 |
| Kaiser Northwest (Oregon) | $316.56 | $742.76 | $645.28 | $1,007.16 |
| Kaiser Northwest (South Washington) | $316.56 | $742.76 | $645.28 | $1,007.16 |
United Healthcare PPO $2,500
- EMPLOYEE ONLY
- $95.37
- EMPLOYEE + SPOUSE
- $199.95
- EMPLOYEE + CHILD(REN)
- $181.76
- EMPLOYEE + FAMILY
- $272.66
United Healthcare HDHP $2,900
- EMPLOYEE ONLY
- $65.40
- EMPLOYEE + SPOUSE
- $201.40
- EMPLOYEE + CHILD(REN)
- $183.09
- EMPLOYEE + FAMILY
- $274.64
Kaiser California (Northern California)
- EMPLOYEE ONLY
- $247.17
- EMPLOYEE + SPOUSE
- $609.52
- EMPLOYEE + CHILD(REN)
- $524.65
- EMPLOYEE + FAMILY
- $799.50
Kaiser California (Southern California)
- EMPLOYEE ONLY
- $297.86
- EMPLOYEE + SPOUSE
- $719.62
- EMPLOYEE + CHILD(REN)
- $624.36
- EMPLOYEE + FAMILY
- $943.91
Kaiser Northwest (Oregon)
- EMPLOYEE ONLY
- $316.56
- EMPLOYEE + SPOUSE
- $742.76
- EMPLOYEE + CHILD(REN)
- $645.28
- EMPLOYEE + FAMILY
- $1,007.16
Kaiser Northwest (South Washington)
- EMPLOYEE ONLY
- $316.56
- EMPLOYEE + SPOUSE
- $742.76
- EMPLOYEE + CHILD(REN)
- $645.28
- EMPLOYEE + FAMILY
- $1,007.16
| Plan | EMPLOYEE ONLY | EMPLOYEE + SPOUSE | EMPLOYEE + CHILD(REN) | EMPLOYEE + FAMILY |
|---|---|---|---|---|
| Dental Base | $3.32 | $6.61 | $7.16 | $11.16 |
| Dental Buy-Up | $10.85 | $21.60 | $26.07 | $39.66 |
Dental Base
- EMPLOYEE ONLY
- $3.32
- EMPLOYEE + SPOUSE
- $6.61
- EMPLOYEE + CHILD(REN)
- $7.16
- EMPLOYEE + FAMILY
- $11.16
Dental Buy-Up
- EMPLOYEE ONLY
- $10.85
- EMPLOYEE + SPOUSE
- $21.60
- EMPLOYEE + CHILD(REN)
- $26.07
- EMPLOYEE + FAMILY
- $39.66
| Plan | EMPLOYEE ONLY | EMPLOYEE + SPOUSE | EMPLOYEE + CHILD(REN) | EMPLOYEE + FAMILY |
|---|---|---|---|---|
| VSP Vision | $0.00 | $0.00 | $0.00 | $0.00 |
VSP Vision
- EMPLOYEE ONLY
- $0.00
- EMPLOYEE + SPOUSE
- $0.00
- EMPLOYEE + CHILD(REN)
- $0.00
- EMPLOYEE + FAMILY
- $0.00