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5

Cost of Coverage

Coverage Level

Total

Monthly

Cost

San Diego Natural

History Museum’s

Employee

Monthly

Monthly

Contribution

Payroll

Deduction

Anthem HMO

Employee Only

$467.24

$447.24

$20.00

Employee + Spouse / Domestic Partner $1,027.91

$564.55

$463.36

Employee and Child(ren)

$841.02

$538.62

$302.40

Employee and Family

$1,444.42

$628.92

$815.60

Anthem HSA

Employee Only

$727.70

$404.24

$323.46

Employee + Spouse / Domestic Partner $1,600.93

$469.96

$1,130.97

Employee and Child(ren)

$1,309.84

$461.22

$848.62

Employee and Family

$2,255.86

$499.54

$1,756.32

Kaiser Permanente HMO

Employee Only

$558.43

$463.97

$94.46

Employee + Spouse / Domestic Partner $1,340.22

$609.55

$730.67

Employee and Child(ren)

$1,005.17

$568.72

$436.45

Employee and Family

$1,675.28

$680.56

$994.72

Anthem DHMO

Employee Only

$12.44

$11.32

$1.12

Employee + Spouse / Domestic Partner $24.88

$22.66

$2.22

Employee and Child(ren)

$24.88

$18.94

$5.94

Employee and Family

$40.44

$22.23

$18.21

Anthem DPPO

Employee Only

$45.05

$7.92

$37.13

Employee + Spouse / Domestic Partner $89.76

$15.86

$73.90

Employee and Child(ren)

$106.67

$15.07

$91.60

Employee and Family

$155.87

$12.80

$143.07

VSP Voluntary Vision

Employee Only

$9.39

$0.00

$9.39

Employee + Spouse / Domestic Partner $16.09

$0.00

$16.09

Employee and Child(ren)

$16.43

$0.00

$16.43

Employee and Family

$26.48

$0.00

$26.48