Per-Pay-Period Plan Costs
BCBSTX Blue Choice CDHP Gold
Employee Only: $16.75
Employee and Spouse/DP: $67.06
Employee and Child(ren): $35.34
Employee and Family: $61.10
BCBSTX Blue Choice CDHP Silver
Employee Only: $0.00
Employee and Spouse/DP: $9.61
Employee and Child(ren): $0.00
Employee and Family: $0.00
BCBSTX Blue Choice PPO
Employee Only: $59.78
Employee and Spouse/DP: $150.21
Employee and Child(ren): $104.72
Employee and Family: $211.67
Gold Plan Delta Dental PPO Network
Employee Only: $4.42
Employee and Spouse/DP: $8.84
Employee and Child(ren): $7.73
Employee and Family: $13.25
Silver Plan Delta Dental PPO Network
Employee Only: $2.18
Employee and Spouse/DP: $4.37
Employee and Child(ren): $3.82
Employee and Family: $6.54
Advantage Network Vision Plan
Employee Only: $2.81
Employee and Spouse/DP: $5.33
Employee and Child(ren): $5.60
Employee and Family: $8.24
Domestic Partner Coverage
Please note that unless your domestic partner is your tax dependent as defined by the IRS, contributions for domestic partner coverage must be made after-tax. Similarly, the company contribution toward coverage for your domestic partner and his/her dependents will be reported as taxable income on your W-2. Contact your tax advisor for more details on how this tax treatment applies to you. Notify DNV if your domestic partner is your tax dependent.