Page 19 - 2022 DPR Construction Benefit Guide_Administrative Employees

Employee Weekly Contributions

CIGNA HIGH DEDUCTIBLE CIGNA OPEN ACCESS KAISER NETWORK
MEDICAL
HEALTH PLAN (HDHP) PLUS PLAN (OAP) PLAN (CA ONLY)
Employee $18 $35 $25

Employee + Spouse/ $43 $89 $62
Domestic Partner*

Employee + Child(ren) $37 $78 $56

Family $62 $124 $83

Note: A $3/week surcharge is added to medical premiums for tobacco use.
* Domestic Partner coverage subject to imputed income.
DENTAL
AND VISION DENTAL HMO DENTAL PPO VISION

Employee $0 $3 $1

Employee + Spouse/ $2 $5 $1.50
Domestic Partner*

Employee + Child(ren) $4 $7 $1.50

Family $5 $8 $2

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