Benefits Calculator
Choose one in each category.
October 1, 2026 thru September 30, 2027
Medical
Empl. Only
+Spouse
+Child(ren)
Family
Choice
Cost/Month
Please Select one of the Health options.
$
Dental Opt Out
$
Vision Opt Out
$
TOTAL/MONTH
$0
X 12(TOTAL COST)
$0
CAP AMOUNT
$
OVER CAP (TOTAL COST-CAP)
$0
PAYROLL DEDUCTION
MTHLY FOR 9 PAYMENTS
$0
Cap Amount
Based on medical coverage level
Empl. Only = $14065.68
+Spouse = $20992.68
+Child(ren) = $14262.24
Family = $25256.28
KAISER
$1150
$2175
$1537
$2676
Blue Shield TRIO
$1054
$1993
$1409
$2451
Blue Shield HMO LAP
$1112
$2103
$1486
$2587
Blue Shield HMO
$1194
$2259
$1596
$2779
Standard Blue Shield PPO 80J
$1228
$2323
$1642
$2859
Optional Blue Shield PPO 90G
$1396
$2643
$1867
$3252
Optional Blue Shield HSA
$1118
$2114
$1494
$2601
Anthem Proactive Care Platinum PPO
$1295
$2450
$1731
$3015
Medical Opt Out
$779
Dental
Empl. Only
+Spouse
+Child(ren)
Family
Delta Dental PPO
$42.4
$85
$97.6
$161.4
Delta Dental DHMO
$23.63
$40.87
$40.85
$61.62
Dental Opt Out
$0
Vision
Empl. Only
+Spouse
+Child(ren)
Family
VSP High Plan
$10.52
$21.03
$17.2
-->
$36.54
VSP Low Plan
$6.9
$13.7
$11.26
$23.9
Vision Opt Out
$0