Per Pay Period Plan Costs
Blue Cross PPO
Single: $150.00
Couple: $303.00
Family: $407.00
Blue Cross HMO
Single: $97.00
Couple: $205.00
Family: $292.00
Kaiser HMO
Single: $83.00
Couple: $167.00
Family: $236.00
Delta Dental PPO
Single: $7.00
Couple: $11.00
Family: $17.00
DeltaCare USA Dental HMO
Single: $2.00
Couple: $4.00
Family: $5.00
Dental Health Services (DHMO)
Single: $2.00
Couple: $3.00
Family: $5.00
Vision Plan
Single: $1.00
Couple: $2.00
Family: $3.00
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 LACMTA if your domestic partner is your tax dependent.