16
Kaiser Permanente
Employee Pays (Tenthly)
District Contribution Amount
HMO
Employee Only
$340.18
$327.02
Employee + 1 Dependent
$613.77
$701.43
Employee + 2 or More Dependents
$746.05
$1,086.35
Vision Service Plan - VSP
Employee Pays (Tenthly)
District Contribution Amount
Vision
Employee Only
$0
$11.04
Employee + 1 Dependent
$8.18
$13.90
Employee + 2 or More Dependents
$19.22
$13.90
Delta Dental Premier
Employee Pays (Tenthly)
District Contribution Amount
PPO Dental
Employee Only
$21.95
$40.45
Employee + 1 Dependent
$89.03
$40.45
Employee + 2 or More Dependents
$147.95
$40.45