Anthem Blue Cross Select Information
Anthem Blue Cross Select Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $7,803 | $650.26 | $0.00 | $325.13 | |
| Employee & Spouse/Domestic Partner | $18,213 | $1,517.71 | $0.00 | $758.86 | |
| Employee & Domestic Partner (post-tax)** | $18,213 | $1,517.71 | $433.73 | $325.13 | |
| Employee & Children | $14,951 | $1,245.90 | $0.00 | $622.95 | |
| Family | $25,540 | $2,128.31 | $0.00 | $1,064.16 | |
| Family (Domestic Partner post-tax)** | $25,540 | $2,128.31 | $441.21 | $622.95 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.