 |
Premium Cost Summary |
Regence - Medical Deductions Per Pay Period
Employee Only
Employee + Spouse or Domestic Partner
Employee + Child(ren)
Employee + Family
FP PPO $1,500 (Utah)
$99.75
$207.07
$203.24
$295.88
PVC PPO $1,500 (Nat'l)
$125.64
$264.45
$257.31
$375.75
FP PPO $3,000 (Utah)
$76.61
$156.72
$155.32
$223.29
PVC PPO $3,000 (Nat'l)
$98.60
$204.26
$199.87
$291.06
FP HDHP $2,500 (Utah)
$79.71
$167.86
$168.59
$247.32
PVC HDHP $2,500 (Nat'l)
$99.25
$216.33
$214.89
$316.06
FP: FocalPoint Network
PVC: Preferred ValueCare Network
PVC: Preferred ValueCare Network
Dental Select - Deductions Per Pay Period
Coverage Levels
Dental WITH Medical
Dental WITHOUT Medical
Employee Only
$0.00
$14.73
Employee + Spouse or Domestic Partner
$0.00
$32.18
Employee + Child(ren)
$0.00
$34.89
Employee + Family
$0.00
$50.70
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
