Bi-Weekly Plan Costs
Blue Shield/DHS EPO
Salary <$95,000
Employee Only: $19.42
Employee + 1: $85.21
Employee + 2+: $16.34
Salary $95,001+
Employee Only: $25.89
Employee + 1: $113.61
Employee + 2+: $155.12
Blue Shield/DHS HDHP + HSA
Salary <$95,000
Employee Only: $34.76
Employee + 1: $110.50
Employee + 2+: $145.09
Salary $95,001+
Employee Only: $52.14
Employee + 1: $147.33
Employee + 2+: $193.46
Kaiser HMO includes Kaiser Vision
Salary <$95,000
Employee Only: $9.61
Employee + 1: $57.67
Employee + 2+: $81.60
Salary $95,001+
Employee Only: $14.42
Employee + 1: $57.67
Employee + 2+: $81.60
MetLife Dental
All Salary Tiers
Employee Only: $1.15
Employee + 1: $1.31
Employee + 2+: $3.46
VSP Vision cost if waiving Medical
All Salary Tiers
Employee Only: $0.00
Employee + 1: $0.00
Employee + 2+: $0.00
Patron Services Weekly Plan Costs
Blue Shield/DHS EPO
Salary <$95,000
Employee Only: $38.84
Employee + 1: $170.41
Employee + 2+: $232.68
Salary $95,001+
Employee Only: $51.78
Employee + 1: $227.22
Employee + 2+: $310.25
Blue Shield/DHS HDHP + HSA
Salary <$95,000
Employee Only: $69.51
Employee + 1: $220.99
Employee + 2+: $290.18
Salary $95,001+
Employee Only: $104.27
Employee + 1: $294.66
Employee + 2+: $386.91
Kaiser HMO includes Kaiser Vision
Salary <$95,000
Employee Only: $19.22
Employee + 1: $115.33
Employee + 2+: $163.20
Salary $95,001+
Employee Only: $28.83
Employee + 1: $115.33
Employee + 2+: $163.20
MetLife Dental
All Salary Tiers
Employee Only: $2.31
Employee + 1: $4.62
Employee + 2+: $6.92
VSP Vision cost if waiving Medical
All Salary Tiers
Employee Only: $0.00
Employee + 1: $0.00
Employee + 2+: $0.00
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 the San Francisco Symphony if your domestic partner is your tax dependent.