Employee Premiums

The charts below list the amount you will pay on bi-weekly basis for your medical, dental, and vision coverage. It’s important to review your options and costs, and choose the coverage that’s right for you.

Medical Contributions (Bi-Weekly)

Enrollment Tier	Blue Shield PPO	Blue Shield PPO Savings (CDHP)	Blue Shield Access+ HMO	Harvard Pilgrim HMO
Enrollment Tier Employee Only	Blue Shield PPO $59.91	Blue Shield PPO Savings (CDHP) $15.12	Blue Shield Access+ HMO $57.82	Harvard Pilgrim HMO $48.59
Enrollment Tier Employee + Spouse/DP*	Blue Shield PPO $142.40	Blue Shield PPO Savings (CDHP) $71.65	Blue Shield Access+ HMO $139.52	Harvard Pilgrim HMO $127.98
Enrollment Tier Employee + Child(ren)	Blue Shield PPO $120.66	Blue Shield PPO Savings (CDHP) $52.49	Blue Shield Access+ HMO $115.71	Harvard Pilgrim HMO $104.17
Enrollment Tier Family	Blue Shield PPO $198.83	Blue Shield PPO Savings (CDHP) $132.44	Blue Shield Access+ HMO $193.02	Harvard Pilgrim HMO $181.48

Dental and Vision Plan Contributions (Bi-Weekly)

Enrollment Tier	PPO Dental Delta Dental	Vision Plan VSP
Enrollment Tier Employee Only	PPO Dental Delta Dental $2.88	Vision Plan VSP $1.21
Enrollment Tier Employee + Spouse/DP*	PPO Dental Delta Dental $8.75	Vision Plan VSP $2.63
Enrollment Tier Employee + Child(ren)	PPO Dental Delta Dental $10.87	Vision Plan VSP $2.81
Enrollment Tier Family	PPO Dental Delta Dental $18.94	Vision Plan VSP $4.39

*Domestic partner premiums are subject to pre- and post-tax costs. In addition, imputed income will be assessed.