Costs – tables

Employee Only

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$213
$877
UHC HSA $1,500 Plan*
$94
$719
UHC HSA $2,500 Plan**
$67
$618
Kaiser HMO $500 Plan
$102
$464

* Annual Ancestry HSA contribution: $750 employee
** Annual Ancestry HSA contribution: $1,250 employee

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$17
$36

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$0
$9

Employee + Spouse/Partner

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$475
$1,959
UHC HSA $1,500 Plan*
$182
$1,632
UHC HSA $2,500 Plan**
$148
$1,378
Kaiser HMO $500 Plan
$229
$1,043

* Annual Ancestry HSA contribution: $1,500 family
** Annual Ancestry HSA contribution: $2,500 family

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$32
$65

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$9
$9

Employee + Children

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$455
$1,872
UHC HSA $1,500 Plan*
$175
$1,559
UHC HSA $2,500 Plan**
$140
$1,318
Kaiser HMO $500 Plan
$218
$997

* Annual Ancestry HSA contribution: $1,500 family
** Annual Ancestry HSA contribution: $2,500 family

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$36
$72

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$12
$9

Employee + Family

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$653
$2,695
UHC HSA $1,500 Plan*
$261
$2,232
UHC HSA $2,500 Plan**
$204
$1,893
Kaiser HMO $500 Plan
$316
$1,437

* Annual Ancestry HSA contribution: $1,500 family
** Annual Ancestry HSA contribution: $2,500 family

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$61
$121

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$18
$10