33
2017 Stantec
Benefits Guide
Medical Plans (continued)
Total
Monthly Cost
Monthly
Employee Rate
with
Platinum
Discount
Monthly
Employee
Rate with
Gold
Discount
Monthly
Employee Rate
with
Standard
Discount
COBRA
Kaiser HMO (CA)
Employee only
$472.11
$154.00
$180.00
$295.00
$481.55
Employee and spouse
or domestic partner
$1,062.26
$403.00
$456.00
$544.00
$1,083.51
Employee and
child(ren)
$897.02
$342.00
$397.00
$483.00
$914.96
Family
$1,534.37
$537.00
$608.00
$678.00
$1,565.06
Kaiser HMO (CO)
Employee only
$507.15
$154.00
$180.00
$295.00
$517.29
Employee and spouse
or domestic partner
$1,039.66
$403.00
$456.00
$544.00
$1,060.45
Employee and
child(ren)
$1,014.30
$342.00
$397.00
$483.00
$1,034.59
Family
$1,465.67
$537.00
$608.00
$678.00
$1,494.98
Spouse and Domestic Partner Medical Plan Surcharge
If your spouse or domestic partner is covered under our health plan and has the ability to be covered
under his or her own employer’s group medical plan, a $150 per month surcharge will be included in
your medical premium deduction to maintain coverage with Stantec. If you elect medical coverage
for your spouse or domestic partner when you enroll online, you’ll be asked if he or she has access to
other group medical coverage (excluding Medicare).
Dental Plans
Total
Monthly Cost
Monthly
Employee Rate COBRA
Cigna Dental Base Plan
Employee only
$41.21
$20.00
$42.03
Employee and spouse
or domestic partner
$81.88
$67.00
$83.52
Employee and
child(ren)
$70.79
$57.00
$72.21
Family
$115.16
$87.00
$117.46
Cigna Dental Buy-up Plan
Employee only
$53.53
$32.00
$54.60
Employee and spouse
or domestic partner
$107.75
$91.00
$109.91
Employee and
child(ren)
$92.97
$78.00
$94.83
Family
$152.12
$122.00
$155.16