Monthly Plan Costs
VRS
Platinum PPO
Employee Only: $433.15
Employee + 1: $954.75
Employee and Family: $1,431.88
Silver HDHP
Employee Only: $176.20
Employee + 1: $429.69
Employee and Family: $629.77
Gold HDHP
Employee Only: $276.76
Employee + 1: $635.24
Employee and Family: $944.81
Cigna Dental PPO
Employee Only: $29.00
Employee and Spouse/DP: $59.00
Employee and Child(ren): $54.00
Employee and Family: $92.00
VSP Vision
Employee Only: $5.11
Employee and Spouse/DP: $10.20
Employee and Child(ren): $10.92
Employee and Family: $17.46
VRC
Salary up to $59,999
Platinum PPO
Employee Only: $255.33
Employee + 1: $540.09
Employee and Family: $802.43
Silver HDHP
Employee Only: $97.30
Employee + 1: $217.19
Employee and Family: $309.14
Gold HDHP
Employee Only: $159.15
Employee + 1: $343.60
Employee and Family: $502.89
Cigna Dental PPO
Employee Only: $29.00
Employee and Spouse/DP: $59.00
Employee and Child(ren): $54.00
Employee and Family: $92.00
VSP Vision
Employee Only: $5.11
Employee and Spouse/DP: $10.20
Employee and Child(ren): $10.92
Employee and Family: $17.46
Salary $60,000 – $149,999
Platinum PPO
Employee Only: $289.68
Employee + 1: $573.91
Employee and Family: $830.91
Silver HDHP
Employee Only: $131.65
Employee + 1: $306.88
Employee and Family: $446.62
Gold HDHP
Employee Only: $193.50
Employee + 1: $433.29
Employee and Family: $640.36
Cigna Dental PPO
Employee Only: $29.00
Employee and Spouse/DP: $59.00
Employee and Child(ren): $54.00
Employee and Family: $92.00
VSP Vision
Employee Only: $5.11
Employee and Spouse/DP: $10.20
Employee and Child(ren): $10.92
Employee and Family: $17.46
Salary $150,000+
Platinum PPO
Employee Only: $324.04
Employee + 1: $719.48
Employee and Family: $1,077.39
Silver HDHP
Employee Only: $166.02
Employee + 1: $396.57
Employee and Family: $584.10
Gold HDHP
Employee Only: $227.86
Employee + 1: $522.98
Employee and Family: $777.85
Cigna Dental PPO
Employee Only: $29.00
Employee and Spouse/DP: $59.00
Employee and Child(ren): $54.00
Employee and Family: $92.00
VSP Vision
Employee Only: $5.11
Employee and Spouse/DP: $10.20
Employee and Child(ren): $10.92
Employee and Family: $17.46
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 Virtual Radiologic Corporation if your domestic partner is your tax dependent.