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2026-2027 Placer Union High School District - Medical, Dental & Vision Benefits
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Calculated on FTE % - 0.875
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Employees with 11 pay periods -Librarians and some ClericalEmployees with 10 pay periods -Instructional Aides, Campus Monitor and Food Service
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Monthly District DistrictEstimatedDistrictEstimated
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DISTRICT CAPCost Cap for ContributionMonthly Employee'sContributionMonthly Employee's
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PLAN Tier of PlanFull Time% of FT CapDeduction% of FT CapDeduction
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KaiserEmployee$1,283.00 $913.00 $871.50 $528.14 $958.65 $580.95
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Traditional HMO W /OPTEmp/Spouse$2,566.00 $913.00 $871.50 $1,927.77 $958.65 $2,120.55
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Emp/Child$1,951.00 $913.00 $871.50 $1,256.86 $958.65 $1,382.55
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Family$3,015.00 $913.00 $871.50 $2,417.59 $958.65 $2,659.35
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1000 Kaiser DHMO w/Opt. Employee$1,173.00$913.00 $871.50 $408.14 $958.65 $448.95
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$1000 $10/$30/20% Rx Emp/Spouse$2,345.00$913.00 $871.50 $1,686.68 $958.65 $1,855.35
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with health savings accountEmp/Child$1,782.00$913.00 $871.50 $1,072.50 $958.65 $1,179.75
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Family$2,755.00$913.00 $871.50 $2,133.95 $958.65 $2,347.35
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2000 Kaiser HDHP High Deductible Plan
Employee$922.00$913.00 $996.00 $9.82 $958.65 $147.75
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($2,000/$3,4000/$4,000)Emp/Spouse$1,844.00$913.00 $996.00 $1,015.64 $958.65 $1,254.15
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with health savings accountEmp/Child$1,402.00$913.00 $996.00 $533.45 $958.65 $723.75
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Family$2,167.00$913.00 $996.00 $1,368.00 $958.65 $1,641.75
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3000 Kaiser HDHP High Deductible Plan
Employee$709.00$709.00 $996.00 $0.00 $744.45 $106.35
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$3000$/3400/$6000Emp/Spouse$1,580.00$913.00 $996.00 $727.64 $958.65 $937.35
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with health savings accountEmp/Child$1,201.00$913.00 $996.00 $314.18 $958.65 $482.55
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Family$1,857.00$913.00 $996.00 $1,029.82 $958.65 $1,269.75
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Sutter Health Traditional HMOEmployee$1,265.00$913.00 $871.50 $508.50 $958.65 $559.35
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$25 copay w/chiro Emp/Spouse$2,529.00$913.00 $871.50 $1,887.41 $958.65 $2,076.15
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Emp/Child$1,921.00$913.00 $871.50 $1,224.14 $958.65 $1,346.55
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Family$2,972.00$913.00 $871.50 $2,370.68 $958.65 $2,607.75
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1000 Sutter Health DMHOEmployee$1,011.00$913.00 $871.50 $231.41 $958.65 $254.55
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Emp/Spouse$2,022.00$913.00 $871.50 $1,334.32 $958.65 $1,467.75
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Emp/Child$1,536.00$913.00 $871.50 $804.14 $958.65 $884.55
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Family$2,376.00$913.00 $871.50 $1,720.50 $958.65 $1,892.55
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1750 Sutter Health Employee$944.00$913.00 $871.50 $158.32 $958.65 $174.15
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High Deductible HMO $1,750/$3,400/$3,500Emp/Spouse$1,887.00$913.00 $871.50 $1,187.05 $958.65 $1,305.75
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with health savings accountEmp/Child$1,433.00$913.00 $871.50 $691.77 $958.65 $760.95
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Family$2,216.00$913.00 $871.50 $1,545.95 $958.65 $1,700.55
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2500 Sutter Health Employee$836.00$836.00 $798.00 $114.00 $877.80 $125.40
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High Deductible HMO $2,500/$3,240/$5,000Emp/Spouse$1,671.00$913.00 $871.50 $951.41 $958.65 $1,046.55
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with health savings accountEmp/Child$1,269.00$913.00 $871.50 $512.86 $958.65 $564.15
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Family$1,962.00$913.00 $871.50 $1,268.86 $958.65 $1,395.75
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Western Health Advantage HMOEmployee$1,010.00$913.00 $871.50 $230.32 $958.65 $253.35
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$25 copay w/chiro Emp/Spouse$2,020.00$913.00 $871.50 $1,332.14 $958.65 $1,465.35
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Emp/Child$1,536.00$913.00 $871.50 $804.14 $958.65 $884.55
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Family$2,374.00$913.00 $871.50 $1,718.32 $958.65 $1,890.15
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1000 Western DHMOEmployee$777.00$777.00 $741.68 $105.95 $815.85 $116.55
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$1000/20/20/20% w.chiroEmp/Spouse$1,554.00$913.00 $871.50 $823.77 $958.65 $906.15
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Emp/Child$1,181.00$913.00 $871.50 $416.86 $958.65 $458.55
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Family$1,826.00$913.00 $871.50 $1,120.50 $958.65 $1,232.55
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1800 Western Health Advantage Employee$738.00$738.00 $704.45 $100.64 $774.90 $110.70
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High Deductible HMO $1,800/$3,400/$3,600Emp/Spouse$1,475.00$913.00 $871.50 $737.59 $958.65 $811.35
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with health savings accountEmp/Child$1,121.00$913.00 $871.50 $351.41 $958.65 $386.55
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Family$1,733.00$913.00 $871.50 $1,019.05 $958.65 $1,120.95
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2800 Western Health AdvantageEmployee$640.00$640.00 $610.91 $87.27 $672.00 $96.00
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High Deductible HMO $2,800/$3,400/$5,600Emp/Spouse$1,280.00$913.00 $871.50 $524.86 $958.65 $577.35
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with health savings accountEmp/Child$973.00$913.00 $871.50 $189.95 $958.65 $208.95
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Family$1,504.00$913.00 $871.50 $769.23 $958.65 $846.15
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Blue Shield TrioEmployee$1,653.00 $913.00 $871.50 $931.77 $958.65 $1,024.95
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HMOEmp/Spouse$3,305.00 $913.00 $871.50 $2,733.95 $958.65 $3,007.35
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*Out-of-Area ResidentsEmp/Child$2,528.00 $913.00 $871.50 $1,886.32 $958.65 $2,074.95
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Family$3,883.00 $913.00 $871.50 $3,364.50 $958.65 $3,700.95
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2700 Blue Shield PPO Savings Employee$1,308.00 $913.00 $871.50 $555.41 $958.65 $610.95
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High Deductible $2,700/$3,200/$5,200Emp/Spouse$2,620.00 $913.00 $871.50 $1,986.68 $958.65 $2,185.35
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with health savings accountEmp/Child$2,004.00 $913.00 $871.50 $1,314.68 $958.65 $1,446.15
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*Out-of-Area ResidentsFamily$3,079.00 $913.00 $871.50 $2,487.41 $958.65 $2,736.15
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4400 Blue Shield PPO SavingsEmployee$1,182.00 $913.00 $871.50 $417.95 $958.65 $459.75
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High Deductible $4,400/$4,400/$8,800Emp/Spouse$2,363.00 $913.00 $871.50 $1,706.32 $958.65 $1,876.95
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with health savings accountEmp/Child$1,808.00 $913.00 $871.50 $1,100.86 $958.65 $1,210.95
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*Out-of-Area ResidentsFamily$2,777.00 $913.00 $871.50 $2,157.95 $958.65 $2,373.75
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Delta DentalComposite$113.50 $113.50 $108.34 $15.48 $119.18 $17.03
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VSP VisionComposite$20.80 $20.80 $19.85 $2.84 $21.84 $3.12
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*Out-of-Area Residents = Active employees living outside the Kaiser, Sutter Health Plus and Western Health Advantage service areas
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Number of hours you work per day is based on your offer of employment (FTE)
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*To calculate your percentage of full-time, divide the number of hours you work in a day by full time work day listed below
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All Classified employees
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