Effective January 1, 2020
ANTHEM DENTAL & VSP VISION PLANS
|Anthem Dental Plans||Low Dental||High Dental||VSP Vision Plans||Core Vision||Buy-up Vision|
|Employee|| $40.00|| $70.00||Employee|| $3.00||$12.00|
|Employee + 1|| $93.00||$155.00||Employee + 1|| $6.00||$24.00|
|Employee + 2 or More||$132.00||$216.00||Employee + 2 or More|| $9.00||$34.00|
|Sutter Health Plus HMO||Sutter Health Plus DHMO|
|Employee + Spouse||$2,288.59||Employee + Spouse||$1,977.81|
|Employee + Child(ren)||$1,872.45||Employee + Child(ren)||$1,618.17|
|Kaiser HMO||Kaiser HRA|
|Employee|| $982.81||Employee|| $788.23|
|Employee +Spouse||$2,162.16||Employee +Spouse||$1,711.35|
|Employee + Child(ren)||$1,769.04||Employee + Child(ren)||$1,432.43|
|OUTSIDE CALIFORNIA PLANS|
|Kaiser Northwest HMO|
|Employee + 1 Dependent||$1,341.79|
|Employee + 2 or More Dependents||$2,012.68|
Note: The Synod's general participation guidelines state that the employer will pay the employee cost for HMO coverage.
These rates are guaranteed based on the Synod's current participation. We do not anticipate any enrollment challenges; however, it is our duty to inform our participants there is always the possibility of being re-rated should we not meet the carrier's participation requirements.
Please call or email Melinda Durham (email@example.com), Benefits Coordinator, with your questions (800) 754-0669.