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SDPEBA/Sharp Saver Deductible (HMO) Information

SDPEBA/Sharp Saver Deductible (HMO) Premiums

Available to DCAA, Local 127, Local 911, MEA, POA, Unrepresented, & Unclassified

Coverage Type Annual Monthly Semi-monthly
(24 pay periods)*
Post-tax Pre-tax
Employee only $5,111.52 $425.96 $0.00 $212.98
Employee & Spouse/Domestic Partner $11,172.96 $931.08 $0.00 $465.54
Employee & Domestic Partner (post-tax)** $11,172.96 $931.08 $252.56 $212.98
Employee & Children $9,695.76 $807.98 $0.00 $403.99
Family $15,502.32 $1,291.86 $0.00 $645.93
Family (Domestic Partner post-tax)** $15,502.32 $1,291.86 $241.94 $403.99

* 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.