Monthly Plan Costs
Blue Shield/DHS EPO
Blue Shield/DHS EPO – Musician
Employee Only: $22.00
Employee +1: $65.00
Employee +2 or more: $87.00
Blue Shield/DHS EPO – Symphony
Employee Only: $1,233.56
Employee +1: $2,456.50
Employee +2 or more: $3,355.73
Blue Shield/DHS PPO
Blue Shield/DHS PPO – Musician
Employee Only: $74.00
Employee +1: $126.00
Employee +2 or more: $152.00
Blue Shield/DHS PPO – Symphony
Employee Only: $2,094.44
Employee +1: $3,752.95
Employee +2 or more: $5,227.26
Blue Shield/DHS HDHP
Blue Shield/DHS HDHP – Musician
Employee Only: $22.00
Employee +1: $65.00
Employee +2 or more: $87.00
Blue Shield/DHS HDHP – Symphony
Employee Only: $1,434.26
Employee +1: $3,011.53
Employee +2 or more: $3,900.54
Kaiser HMO
Kaiser HMO – Musician
Employee Only: $22.00
Employee +1: $65.00
Employee +2 or more: $87.00
Kaiser HMO – Symphony
Employee Only: $1,288.68
Employee +1: $2,556.38
Employee +2 or more: $3,622.24
Dental Plan
Dental Plan – Musician
Employee Only: $0.00
Employee +1: $0.00
Employee +2: $0.00
Dental Plan – Symphony
Employee Only: $75.88
Employee +1: $136.91
Employee +2: $211.38
Vision Plan
Vision Plan – Musician
Employee Only: $0.00
Employee +1: $0.00
Employee +2: $0.00
Vision Plan – Symphony
Employee Only: $18.91
Employee +1: $29.37
Employee +2: $46.59
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.