Teammate Handbook Cover

CalPERS Region 1 Health Plan Rates Available for 2025 - AFSCME

Employee Pays per month

* 2025 City Contribution

Delta Dental PPO

Total Premium

Medical

Medical in-lieu

40.00

$610.00

$

570.00 $

Anthem Blue Cross Select HMO Employee

$ 1,256.65 $ 2,513.30 $ 3,267.29

$ $

57.85 96.30

$ $ $

1,314.50 2,609.60 3,419.30

$ $ $

1,070.73 2,141.45 2,806.25

$ $ $

243.77 468.15 613.05

Employee +1

Family

$ 152.01

Anthem Blue Cross Traditional HMO Employee

$ 1,500.40 $ 3,000.80 $ 3,901.04

$ $

57.85 96.30

$ $ $

1,558.25 3,097.10 4,053.05

$ $ $

1,070.73 2,141.45 2,806.25

$ $

487.52 955.65

Employee +1

Family

$ 152.01

$ 1,246.80

Blue Shield Access + HMO Employee

$ 1,170.17 $ 2,340.34 $ 3,042.44

$ $

57.85 96.30

$ $ $

1,228.02 2,436.64 3,194.45

$ $ $

1,070.73 2,141.45 2,806.25

$ $ $

157.29 295.19 388.20

Employee +1

Family

$ 152.01

Blue Shield Trio HMO*

* See CalPERs Regional Health Premium

Employee

$ 1,134.79 $ 2,269.58 $ 2,950.45

$ $

57.85 96.30

$ $ $

1,192.64 2,365.88 3,102.46

$ $ $

1,070.73 2,141.45 2,806.25

$ $ $

121.91 224.43 296.21

Employee +1

Family

$ 152.01

Kaiser Permanente

Employee

$ 1,112.90 $ 2,225.80 $ 2,893.54

$ $

57.85 96.30

$ $ $

1,170.75 2,322.10 3,045.55

$ $ $

1,070.73 2,141.45 2,806.25

$ $ $

100.02 180.65 239.30

Employee +1

Family

$ 152.01

PERS Gold (Select) PPO Employee

$ 1,013.70 $ 2,027.40 $ 2,635.62

$ $

57.85 96.30

$ $ $

1,071.55 2,123.70 2,787.63

$ $ $

1,070.73 2,141.45 2,806.25

$

0.82

Employee +1

-$- -$-

Family

$ 152.01

PERS Platinum PPO (Care and Choice) Employee

$ 1,476.10 $ 2,952.20 $ 3,837.86

$ $

57.85 96.30

$ $ $

1,533.95 3,048.50 3,989.87

$ $ $

1,070.73 2,141.45 2,806.25

$ $

463.22 907.05

Employee +1

Family

$ 152.01

$ 1,183.62

UnitedHealthcare SignatureValue Alliance Employee $ 1,184.58

$ $

57.85 96.30

$ $ $

1,242.43 2,465.46 3,231.92

$ $ $

1,070.73 2,141.45 2,806.25

$ $ $

171.70 324.01 425.67 10.92 20.76 30.45

Employee +1

$ 2,369.16 $ 3,079.91

Family

$ 152.01

Health Plans and Rates listed are for Region 1 Pricing. Employees not living in Region 1 will have different rates Delta Dental Employee $ 57.85 EyeMed Employee

$ $ $

Employee +1

$ $

96.30

Employee +1

Family

152.01

Family

*Employer contribution rates are subject to final approval of bargaining group MOUs.

Made with FlippingBook - Online catalogs