Your 2022 Costs

Semi-monthly contributions

Most benefit contributions are pre-tax, which lower your taxable income. Different contribution rates, as well as imputed income, apply when covering a Domestic Partner and their children. Please review the Domestic Partner information below to learn more.

PlansEmployee OnlyEmployee + Spouse/
Domestic Partner
Employee + ChildrenEmployee + Family
UHC HDHP w/HSA$14.50$108.50$56.00$138.00
UHC PPO$40.00$184.00$115.00$230.00
Kaiser HMO$23.50$112.50$74.00$143.00
Delta Dental$2.50$8.00$13.50$19.00
VSP Vision$0.50$2.50$2.50$5.50


Domestic Partner Information

Domestic partner contributions and imputed income

Domestic partner contributions are regulated by the IRS. Contributions you make for domestic partner coverage must be made on a post-tax basis. Similarly, ServiceNow’s contribution towards the cost of benefits for your domestic partner and his or her dependents is taxable income to you. If your domestic partnership is registered with the Secretary of the State of California, your imputed income will be exempt from California state tax. Contact your tax advisor for more detailed information on how the tax treatment may affect you.

2022 Domestic Partner Imputed Income Monthly Contributions

Domestic Partner Affidavit

If you are enrolling a Domestic Partner, you may need to complete the attached affidavit and submit it through BenefitSolver during the online enrollment process. You are encouraged to carefully review the eligibility criteria for covering a domestic partner.

Domestic Partner Affidavit

Scroll Up