Plan Costs
Kaiser HMO Under $50K
Employee Only: $123.87
Employee and Spouse/DP: $417.57
Employee and Child(ren): $379.56
Employee and Family: $569.78
Kaiser HMO $50K to $74.9K
Employee Only: $139.68
Employee and Spouse/DP: $468.23
Employee and Child(ren): $425.61
Employee and Family: $638.86
Kaiser HMO $75K+
Employee Only: $150.70
Employee and Spouse/DP: $505.05
Employee and Child(ren): $459.09
Employee and Family: $689.09
Aetna AVN HMO Low Under $50K
Employee Only: $74.62
Employee and Spouse/DP: $277.11
Employee and Child(ren): $249.29
Employee and Family: $416.62
Aetna AVN HMO Low $50K to $74.9K
Employee Only: $92.53
Employee and Spouse/DP: $328.28
Employee and Child(ren): $295.34
Employee and Family: $493.37
Aetna AVN HMO Low $75+
Employee Only: $98.50
Employee and Spouse/DP: $345.34
Employee and Child(ren): $310.70
Employee and Family: $518.95
Aetna AVN HMO High Under $50K
Employee Only: $150.05
Employee and Spouse/DP: $456.36
Employee and Child(ren): $410.66
Employee and Family: $685.41
Aetna AVN HMO High $50K to $74.9K
Employee Only: $168.29
Employee and Spouse/DP: $511.60
Employee and Child(ren): $460.36
Employee and Family: $768.24
Aetna AVN HMO High $75K+
Employee Only: $174.38
Employee and Spouse/DP: $530.02
Employee and Child(ren): $476.91
Employee and Family: $795.85
Aetna OMAC POS Under $50K
Employee Only: $385.96
Employee and Spouse/DP: $891.22
Employee and Child(ren): $802.01
Employee and Family: $1,337.66
Aetna OMAC POS $50K to $74.9K
Employee Only: $432.50
Employee and Spouse/DP: $998.62
Employee and Child(ren): $898.68
Employee and Family: $1,498.78
Aetna OMAC POS $75K+
Employee Only: $448.02
Employee and Spouse/DP: $1,034.43
Employee and Child(ren): $930.90
Employee and Family: $1,552.48
Aetna HMO (NV Only) Under $50K
Employee Only: $109.79
Employee and Spouse/DP: $491.09
Employee and Child(ren): $441.91
Employee and Family: $737.47
Aetna HMO (NV Only) $50K to $74.9K
Employee Only: $173.08
Employee and Spouse/DP: $550.47
Employee and Child(ren): $495.35
Employee and Family: $826.55
Aetna HMO (NV Only) $75K+
Employee Only: $187.69
Employee and Spouse/DP: $570.28
Employee and Child(ren): $513.18
Employee and Family: $856.25
Aetna Dental HMO
Employee Only: $7.65
Employee and Spouse/DP: $13.29
Employee and Child(ren): $13.76
Employee and Family: $19.12
Aetna Dental PPO Base
Employee Only: $19.45
Employee and Spouse/DP: $44.38
Employee and Child(ren): $45.96
Employee and Family: $63.85
Aetna Dental PPO Buy-up
Employee Only: $22.87
Employee and Spouse/DP: $50.61
Employee and Child(ren): $52.42
Employee and Family: $72.81
Aetna Vision
Employee Only: $1.84
Employee and Spouse/DP: $3.49
Employee and Child(ren): $3.67
Employee and Family: $5.40
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 LMI if your domestic partner is your tax dependent.