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HB Workplaces / Cost Summary

Premium Cost Summary
Regence - Medical Deductions Per Pay Period
Coverage Levels
FP PPO $700
(Utah)
PVC PPO $700
(National)
FP HDHP $2,500
(Utah)
PVC HDHP $2,500
(National)
Employee Only
$92.06
$116.45
$68.92
$85.80
Employee + Spouse or Domestic Partner
$193.29
$247.70
$145.12
$187.02
Employee + Child(ren)
$189.53
$240.82
$145.75
$185.78
Employee + Family
$277.00
$352.69
$213.82
$273.24
FP: FocalPoint Network
PVC: Preferred ValueCare Network
Dental Select - Deductions Per Pay Period
Coverage Levels
Dental WITH Medical
Dental WITHOUT Medical
Employee Only
$0.00
$14.07
Employee + Spouse or Domestic Partner
$0.00
$30.74
Employee + Child(ren)
$0.00
$33.33
Employee + Family
$0.00
$48.43
HB Workplaces covers 100% of your dental premium if you are enrolled in medical coverage.
VSP - Deductions Per Pay Period
Coverage Levels
Full Coverage Vision Plan
Employee Only
$5.92
Employee + One Dependent
$8.59
Employee + Family
$15.40