Employee Per Pay Period Deductions
| Bi-Weekly Deductions | ||||
|---|---|---|---|---|
| Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Family | |
| Medical | ||||
| Blue Shield Full PPO Blue Shield Full PPO Combined Deductible 15-250 90/70 | $48.34 | $306.37 | $187.28 | $425.46 |
| Blue Shield Full PPO Split Deductible 20-500 80/60 | $21.69 | $245.07 | $141.97 | $348.16 |
| Blue Shield Full PPO Combined Deductible Value 15-1500 80/5 | $0 | $195.17 | $105.09 | $285.25 |
| Kaiser Traditional HMO | $0 | $169.44 | $91.24 | $247.65 |
| Dental | ||||
| DPPO | $0 | $7.84 | $11.53 | $21.14 |
| Vision | ||||
| 10 Vision 1025130 | $0 | $0.96 | $1.00 | $2.41 |
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