Cost of Coverage Per Month
Medical
Aetna HMO
Employee Only: $0
Employee and Spouse: $50
Employee and Child(ren): $100
Employee and Family: $200
Aetna Medical EPO (2-Tier)
Employee Only: $5
Employee and Spouse: $300
Employee and Child(ren): $300
Employee and Family: $700
Aetna HSA Compatible PPO
Employee Only: $25
Employee and Spouse: $150
Employee and Child(ren): $200
Employee and Family: $350
Aetna Medical POS (3-Tier)
Employee Only: $50
Employee and Spouse: $100
Employee and Child(ren): $150
Employee and Family: $200
Aetna Medical PPO (3-Tier)
Employee Only: $0
Employee and Spouse: $50
Employee and Child(ren): $100
Employee and Family: $200
Dental
Delta Dental Managed Dental Plan
Employee Only: $10
Employee and Spouse: $20
Employee and Child(ren): $40
Employee and Family: $80
Delta Dental PPO Plan
Employee Only: $25
Employee and Spouse: $50
Employee and Child(ren): $150
Employee and Family: $200
Delta Dental Triple Option
Employee Only: $20
Employee and Spouse: $40
Employee and Child(ren): $80
Employee and Family: $160
Vision
Vision Service Plan Premier
Employee Only: $5
Employee and Spouse: $10
Employee and Child(ren): $15
Employee and Family: $20
Domestic Partner Coverage
Please note that unless your domestic partner is your tax dependent as defined by the IRS, contributions for domestic partner coverage must be made after-tax. Similarly, the company contribution toward coverage for your domestic partner and his/her dependents will be reported as taxable income on your W-2. Contact your tax advisor for more details on how this tax treatment applies to you. Notify Tech20 if your domestic partner is your tax dependent.