2025 SBC

Premera Titanium
200
350
500

Premera Sterling
250
500
750
1000
1500
2000
2500
3000
4000
5000
HSA 1700
HSA 2500
HSA 3500
HSA 5000

Premera Prime Titanium
200
500

Premera Prime Sterling
750
1000
2000
3000
5000
HSA 1700
HSA 3500
HSA 5000

Kaiser Permanente PPO
200
500
750
1000
2000
3000
5000
HSA 2500
HSA 4500

Kaiser Permanente HMO
200
500
750
1000
2000
3000
5000
HSA 2500
HSA 4500

Kaiser SG
Platinum 250
Platinum 500
Gold 600
Gold 1500
Silver LD 2500
Silver 3000
Silver HD 6000
Silver HSA 3500
Bronze HSA 6000

Kaiser HMO SG
Platinum 250
Gold 600
Gold 1500
Silver 1800
Silver 2500
Silver HSA 3500
Bronze HSA 6000

Nice Healthcare
Nice Flyer

Regence
Platinum 250
Platinum 500
Platinum 1150
Gold 500
Gold 1000
Gold 1500
Gold 2000
Gold 2500
Silver 2500
Silver 3000
Silver 4000
Silver 5500
Bronze 8550
Gold HSA 1800
Silver HSA 2700
Silver HSA 3500
Silver HSA 5150
Bronze HSA 6000

Premera SG Choice
Gold 750
Gold 1000
Gold 1500
Silver 2500
Gold HSA 1650
Silver HSA 3300
Bronze HSA 8000

Premera SG Balance
Platinum 250
Platinum 500
Gold 500
Gold 1000
Gold 1500
Gold 2000
Gold 2500
Silver 2000
Silver 3000
Silver 5000
Bronze 6500
Gold HSA 1650
Silver HSA 3300
Bronze HSA 8000

Dental
Plan 1
Plan 2
Plan 3
Plan 4
Plan 5
Plan 6
Plan 7
Plan 8

Vision
Choice Plan A
Choice Plan B
Choice Plan B CVC
Choice Plan C
Choice Plan C CVC

USAble
Plan A – $15,000
Plan B – $50,000
Plan C – 1x Salary up to $100,000
Plan D – 2x Salary up to $200,000
LTD 2-9 Employees
Voluntary Life
KAVI Option 1 – $20,000

Principal
STD HC
LTD HC
STD LEV
LTD LEV
Vol Life LEV

Other
Moxee Regence 500
Artsfund Regence Plat 250
Artsfund Vision
Dymaxis 3500/7150
Dymaxis Vision
OR Generators UHC
OR Generators Dental
OR Generators Vision
OR Generators ADD