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POA ALADS California Care Premier (HMO - with Dental) Information
POA ALADS California Care Premier (HMO - with Dental) Premiums
Available to POA Classified & Unclassified
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $9,538 | $797.81 | $0.00 | $397.41 | |
| Employee & Spouse/Domestic Partner | $19,816 | $1,651.31 | $0.00 | $825.66 | |
| Employee & Domestic Partner (post-tax) | $19,816 | $1,651.31 | $428.25 | $397.41 | |
| Employee & 1 Child | $19,816 | $1,651.31 | $0.00 | $825.66 | |
| Employee & Children | $23,937 | $1,994.73 | $0.00 | $997.37 | |
| Family | $23,937 | $1,994.73 | $0.00 | $997.37 | |
| Family (Domestic Partner post-tax) | $23,937 | $1,994.73 | $171.71 | $825.66 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.