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WCSD HEALTH PLANS 2025 RATES CERTIFICATED EMPLOYEES
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KAISER 2024 2024 ER Max $ 1,550.00 $ 1,550.00 100.00%
Enter your FTE here
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HMO PLAN $20 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket Enter # of hours you work here7100.00
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Kaiser EE $ 1,081.45 $ (468.55) $ 102.76 $ 21.17 $ - %FTE
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Kaiser EE +1 $ 2,162.93 $ 612.93 $ 102.76 $ 21.17 $ 736.86
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Kaiser EE + Fam $ 3,060.54 $ 1,510.54 $ 102.76 $ 21.17 $ 1,634.47
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HMO PLAN $10 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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Kaiser EE $ 1,121.41 $ (428.59) $ 102.76 $ 21.17 $ -
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Kaiser EE +1 $ 2,242.83 $ 692.83 $ 102.76 $ 21.17 $ 816.76
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Kaiser EE + Fam $ 3,173.60 $ 1,623.60 $ 102.76 $ 21.17 $ 1,747.53
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Deductible HMO 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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Kaiser EE $ 657.55 $ (892.45) $ 102.76 $ 21.17 $ - **
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Kaiser EE +1 $ 1,315.12 $ (234.88) $ 102.76 $ 21.17 $ -
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Kaiser EE + Fam $ 1,860.89 $ 310.89 $ 102.76 $ 21.17 $ 434.82
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DHMO XP7665-4500 DED 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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Kaiser EE $ 442.37 $ (1,107.63) $ 102.76 $ 21.17 **
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Kaiser EE +1 $ 884.76 $ (665.24) $ 102.76 $ 21.17
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Kaiser EE + Fam $ 1,251.92 $ (298.08) $ 102.76 $ 21.17
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UNITED HEALTHCARE 2024 2024 ER Max
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HMO PLAN $15 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 1,020.04 $ (529.96) $ 102.76 $ 21.17
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United Health EE + 1 $ 2,109.00 $ 559.00 $ 102.76 $ 21.17 $ 682.93
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United Health EE + Fam $ 3,002.31 $ 1,452.31 $ 102.76 $ 21.17 $ 1,576.24
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HMO PLAN $20 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 980.01 $ (569.99) $ 102.76 $ 21.17
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United Health EE + 1 $ 2,024.27 $ 474.27 $ 102.76 $ 21.17 $ 598.20
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United Health EE + Fam $ 2,879.59 $ 1,329.59 $ 102.76 $ 21.17 $ 1,453.52
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PPO PLAN 80/60 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 1,776.16 $ 226.16 $ 102.76 $ 21.17 $ 350.09
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United Health EE + 1 $ 3,550.48 $ 2,000.48 $ 102.76 $ 21.17 $ 2,124.41
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United Health EE + Fam $ 4,615.78 $ 3,065.78 $ 102.76 $ 21.17 $ 3,189.71
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HSA HIGH DEDUCTABLE PLAN 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 1,193.80 $ (356.20) $ 102.76 $ 21.17
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United Health EE + 1 $ 2,387.60 $ 837.60 $ 102.76 $ 21.17 $ 961.53
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United Health EE + Fam $ 3,101.92 $ 1,551.92 $ 102.76 $ 21.17 $ 1,675.85
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SUTTER 2024 2024 ER Max
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Sutter HMO 10 copay ML26 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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EE $ 1,089.10 $ (460.90) $ 102.76 $ 21.17
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EE +1 $ 2,178.00 $ 628.00 $ 102.76 $ 21.17 $ 751.93
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EE + Fam $ 3,027.40 $ 1,477.40 $ 102.76 $ 21.17 $ 1,601.33
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Sutter HMO $20 Copay ML29 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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EE $ 1,072.20 $ (477.80) $ 102.76 $ 21.17
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EE +1 $ 2,144.20 $ 594.20 $ 102.76 $ 21.17 $ 718.13
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EE + Fam $ 2,980.40 $ 1,430.40 $ 102.76 $ 21.17 $ 1,554.33
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Sutter HMO $20 Copay - Ded $2500 ML24 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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EE $ 874.80 $ (675.20) $ 102.76 $ 21.17
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EE +1 $ 1,749.40 $ 199.40 $ 102.76 $ 21.17 $ 323.33
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EE + Fam $ 2,431.60 $ 881.60 $ 102.76 $ 21.17 $ 1,005.53
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**If a negative amount shows up, it means employee desn't pay anything.
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