Your Benefit Costs

What You Pay for Medical Coverage

Plan/Tier	Employee Cost Per Paycheck (Biweekly Rates)
High Deductible Health Plan (HDHP)
Plan/Tier Employee Only	Employee Cost Per Paycheck (Biweekly Rates) $37.99
Plan/Tier Employee + 1	Employee Cost Per Paycheck (Biweekly Rates) $111.52
Plan/Tier Employee + Family	Employee Cost Per Paycheck (Biweekly Rates) $186.10
UHC HDHP Enrollees can qualify for the HSA contribution from WGU
Plan/Tier WGU HSA Match	Employee Cost Per Paycheck (Biweekly Rates) Employee Only: $38.46 per paycheck ($1,000/yr max) Employee + 1 or Family: $76.92 per paycheck ($2,000/yr max)
Plan/Tier WGU HSA Wellbeing Contribution	Employee Cost Per Paycheck (Biweekly Rates) $750 Annual
Informed Choice Health Plan (ICHP)
Plan/Tier Employee Only	Employee Cost Per Paycheck (Biweekly Rates) $53.08
Plan/Tier Employee + 1	Employee Cost Per Paycheck (Biweekly Rates) $161.54
Plan/Tier Employee + Family	Employee Cost Per Paycheck (Biweekly Rates) $242.31

Plan/Tier	Employee Cost Per Paycheck (Biweekly Rates)
Cigna DPPO
Plan/Tier Employee Only	Employee Cost Per Paycheck (Biweekly Rates) $4.27
Plan/Tier Employee + 1	Employee Cost Per Paycheck (Biweekly Rates) $8.44
Plan/Tier Employee + Family	Employee Cost Per Paycheck (Biweekly Rates) $12.99
Cigna DHMO
Plan/Tier Employee Only	Employee Cost Per Paycheck (Biweekly Rates) $.90
Plan/Tier Employee + Spouse	Employee Cost Per Paycheck (Biweekly Rates) $1.54
Plan/Tier Employee + Child(ren)	Employee Cost Per Paycheck (Biweekly Rates) $1.84
Plan/Tier Employee + Family	Employee Cost Per Paycheck (Biweekly Rates) $3.00

Plan/Tier	Employee Cost Per Paycheck (Biweekly Rates)
EyeMed Vision
Plan/Tier Employee Only	Employee Cost Per Paycheck (Biweekly Rates) $2.82
Plan/Tier Employee + 1	Employee Cost Per Paycheck (Biweekly Rates) $5.37
Plan/Tier Employee + Child(ren)	Employee Cost Per Paycheck (Biweekly Rates) $5.65
Plan/Tier Employee + Family	Employee Cost Per Paycheck (Biweekly Rates) $8.31