SY25 Ceiba Health Benefits EE Contributions - Sheet1

SBC_20251001_BSC_2025 Blue Shield PPO 90-C $20

BS_20251001_BSC_2025 Oct Blue Shield PPO HSA 1700 SNG

BS_20251001_KP_2025 Oct Kaiser DHMO 1000

BS_20251001_KP_2025 Oct Kaiser HMO $20 OV, $10-20 Rx

BS_20251001_BSC_2025 Oct Blue Shield PPO HSA 1700 FAM

BS_20251001_BSC_2025 Oct Blue Shield PPO 2-Tier HSA 5000

BS_20251001_BCP_2025 Oct Proactive Care Gold