Cost of Coverage
Full-Time Employees (excluding SPOA members)
Effective 1/1/2025
Kaiser Permanente HMO Plan - Medical, Dental and Vision Tier with DHMO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $981.02 $725.00 $256.02 $128.01
Employee + 1 $1,769.34 $1,316.00 $453.34 $226.67
Employee + Family $2,390.88 $1,753.00 $637.88 $318.94
Tier with DPPO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $1,017.85 $725.00 $292.85 $146.43
Employee + 1 $1,844.40 $1,316.00 $528.40 $264.20
Employee + Family $2,454.64 $1,753.00 $701.64 $350.82
Kaiser Permanente DEDUCTIBLE HMO Plan - Medical, Dental and Vision Tier with DHMO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $865.29 $725.00 $140.29 $70.15
Employee + 1 $1,561.02 $1,316.00 $245.02 $122.51
Employee + Family $2,113.13 $1,753.00 $360.13 $180.07
Tier with DPPO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $902.12 $725.00 $177.12 $88.56
Employee + 1 $1,636.08 $1,316.00 $320.08 $160.04
Employee + Family $2,176.89 $1,753.00 $423.89 $211.95
Kaiser Permanente HDHP Plan - Medical, Dental and Vision Tier with DHMO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $817.34 $725.00 $92.34 $46.17
Employee + 1 $1,474.73 $1,316.00 $158.73 $79.37
Employee + Family $1,998.06 $1,753.00 $245.06 $122.53
Tier with DPPO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $854.17 $725.00 $129.17 $64.59
Employee + 1 $1,549.79 $1,316.00 $233.79 $116.90
Employee + Family $2,061.82 $1,753.00 $308.82 $154.41
Sutter Health Plus HMO Plan - Medical, Dental and Vision Tier with DHMO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $997.14 $725.00 $272.14 $136.07
Employee + 1 $1,798.52 $1,316.00 $482.52 $241.26
Employee + Family $2,429.66 $1,753.00 $676.66 $338.33
Tier with DPPO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $1,033.97 $725.00 $308.97 $154.49
Employee + 1 $1,873.58 $1,316.00 $557.58 $278.79
Employee + Family $2,493.42 $1,753.00 $740.42 $370.21
Sutter Health Plus DEDUCTIBLE HMO Plan - Medical, Dental and Vision Tier with DHMO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $870.74 $725.00 $145.74 $72.87
Employee + 1 $1,571.02 $1,316.00 $255.02 $127.51
Employee + Family $2,126.36 $1,753.00 $373.36 $186.68
Tier with DPPO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $907.57 $725.00 $182.57 $91.29
Employee + 1 $1,646.08 $1,316.00 $330.08 $165.04
Employee + Family $2,190.12 $1,753.00 $437.12 $218.56
Sutter Health Plus HDHP Plan - Medical, Dental and Vision Tier with DHMO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $854.54 $725.00 $129.54 $64.77
Employee + 1 $1,541.62 $1,316.00 $225.62 $112.81
Employee + Family $2,087.26 $1,753.00 $334.26 $167.13
Tier with DPPO Dental Total Monthly
Employer Monthly
Contribution
Employee Monthly
Contribution
Per Paycheck
Deduction
Employee Only $891.37 $725.00 $166.37 $83.19
Employee + 1 $1,616.68 $1,316.00 $300.68 $150.34
Employee + Family $2,151.02 $1,753.00 $398.02 $199.01
ATTACHMENT A