Benefits Calculator
Choose one in each category.
October 1, 2020 thru September 30, 2021
Medical
Single
2 Party
Family
ChoiceCost/Month
Employee Hours
Medical Opt Out$0
Dental Opt Out$0
Vision Opt Out$0
TOTAL/MONTH$0
Kaiser
Blue Shield HMO TRIO
Blue Shield HMO $30 Co-Pay
Blue Shield HMO $10 Co-Pay
Blue Shield PPO
Blue Shield PPO HSA
Medical Opt Out    
Dental
Single
2 Party
Family
Delta Dental PPO
Delta Dental HMO
Dental Opt Out    
Vision
  
VSP Family
VSP for Kaiser
Vision Opt Out
Hours Worked
Please select applicable full time or part time hours