Your Medical Benefits

Medical/Rx Benefit Summaries – 4/1/2025-3/31/2026
Summary of Benefits & Coverage (SBC) – 4/1/2025-3/31/2026
Contribution Schedule

Rates effective 4/1/2025-3/31/2026

Medical/Rx
Virtual PlusTotal PremiumTutta Bella PaysYou Pay
Employee Only$487.81$317.08$170.73
Employee + Spouse/DP*$1,273.13$317.08$956.05
Employee + Child(ren)$926.83$317.08$609.75
Employee + Family$1,712.15$317.08$1,395.07
Medical/Rx
Access PPOTotal PremiumTutta Bella PaysYou Pay
Employee Only$641.29$317.08$324.21
Employee + Spouse/DP*$1,673.71$317.08$1,356.63
Employee + Child(ren)$1,218.46$317.08$901.38
Employee + Family$2,250.88$317.08$1,933.80
Helpful Resources

Kaiser Permanente
Customer Service: (888) 297-6877
www.kp.org/wa

Virtual Plus Group #: 2198100
Access PPO Group #: 8519300

Network: Virtual Plus – Connect and Access PPO

Your Voluntary Dental Benefits

Contribution Schedule

Rates effective 4/1/2025-3/31/2026

Voluntary Dental
Total PremiumTutta Bella PaysYou Pay
Employee Only$35.61$0.00$35.61
Employee + Spouse$69.58$0.00$69.58
Employee + Child(ren)$91.96$0.00$91.96
Employee + Family$132.69$0.00$132.69
Helpful Resources

Principal 
Customer Service: (800) 986.3343
www.principal.com
Group Number: 1108713
Network: PPO

Your Voluntary Vision Benefits

Contribution Schedule

Rates effective 4/1/2025-3/31/2026

Voluntary Vision
Total PremiumYou Pay
Employee Only$5.31$5.31
Employee + Spouse$11.19$11.19
Employee + Child(ren)$11.96$11.96
Employee + Family$19.16$19.16
Helpful Resources

VSP (through Principal)
Customer Service: (800) 877-7195
www.vsp.com

Group # 910983

Network: VSP Choice

Your Life/AD&D Benefits

Contribution Schedule

Rates effective 4/1/2025-3/31/2026

Life
Total PremiumTutta Bella PaysYou Pay
Employee$3.47$1.73$1.73
Helpful Resources

Principal
Phone: (800) 986-3343
www.principal.com

Group # 1108713