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CONTRIBUTIONS—PACIFIC COAST TITLE COMPANY
Medical Coverage Tier
HMO-Kaiser HMO-Anthem BCBS PPO-Anthem BCBS HIA-Anthem BCBS
Payroll Frequency
Monthly
Monthly
Monthly
Monthly
Employee Only
$242.28
$421.39
$618.41
$545.54
Employee + Spouse
$740.37
$927.05
$1,360.49
$1,200.18
Employee + Child(ren)
$608.53
$758.50
$1,113.14
$981.97
Family
$1,048.01
$1,306.30
$1,917.08
$1,691.16
Dental Coverage Tier
High PPO Plan Low PPO Plan
Payroll Frequency
Monthly
Monthly
Employee Only
$26.72
$13.35
Employee + Spouse
$55.88
$26.71
Employee + Child(ren)
$63.16
$32.78
Family
$94.74
$48.56
Vision Coverage Tier
Payroll Frequency
Employee Only
Employee + 1
Family
Medical Insurance - Employee Contributions
$17.96
Monthly
$6.44
$12.24
Dental Insurance - Employee Contributions
Vision Insurance - Employee Contributions
PPO Plan