Teammate Handbook Cover
CalPERS Region 1 Health Plan Rates Available for 2023 Mgmt/Prof/Conf Employees
Delta Dental PPO
Employee Pays per month
Total Premium *2023 City Contribution
Medical
Medical in-lieu
$610.00
Anthem Blue Cross Select HMO Employee
1,128.83 $ 2,257.66 $ 2,934.96 $ 1,210.71 $ 2,421.42 $ 3,147.85 $ 1,035.21 $ 2,070.42 $ 2,691.55 $
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
60.89
1,189.72 $ 2,359.03 $ 3,094.97 $ 1,271.60 $ 2,522.79 $ 3,307.86 $ 1,096.10 $ 2,171.79 $ 2,851.56 $
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
881.00
$ $ $
308.72 597.03 785.97
Employee +1
101.37 160.01
1,762.00 2,309.00
Family
Anthem Blue Cross Traditional HMO Employee
60.89
881.00
$ $ $
390.60 760.79 998.86
Employee +1
101.37 160.01
1,762.00 2,309.00
Family
Blue Shield Access + HMO Employee
60.89
881.00
$ $ $ $ $ $
215.10 409.79 542.56
Employee +1
101.37 160.01
1,762.00 2,309.00
Family
Blue Shield Trio HMO*
* See CalPERs Regional Health Premium
Employee
$
888.94
60.89
$
949.83
881.00
68.83
Employee +1
1,777.88 $ 2,311.24 $
101.37 160.01
1,879.25 $ 2,471.25 $
1,762.00 2,309.00
117.25 162.25
Family
HealthNet SmartCare
Employee
1,174.50 $ 2,349.00 $ 3,053.70 $
60.89
1,235.39 $ 2,450.37 $ 3,213.71 $
881.00
$ $ $
354.39 688.37 904.71
Employee +1
101.37 160.01
1,762.00 2,309.00
Family
Kaiser Permanente
Employee
$
913.74
60.89
$
974.63
881.00
$ $ $
93.63
Employee +1
1,827.48 $ 2,375.72 $
101.37 160.01
1,928.85 $ 2,535.73 $
1,762.00 2,309.00
166.85 226.73
Family
PERS Gold (Select) PPO Employee
$
825.61
60.89
$
886.50
881.00
$
5.50
Employee +1
1,651.22 $ 2,146.59 $
101.37 160.01
1,752.59 $ 2,306.60 $
1,762.00 2,309.00
Family
PERS Platinum PPO (Care and Choice) Employee
1,200.12 $ 2,400.24 $ 3,120.31 $
60.89
1,261.01 $ 2,501.61 $ 3,280.32 $
881.00
$ $ $
380.01 739.61 971.32
Employee +1
101.37 160.01
1,762.00 2,309.00
Family
UnitedHealthcare SignatureValue Alliance Employee
1,044.07 $ 2,088.14 $ 2,714.58 $
$ $ $
60.89
1,104.96 $ 2,189.51 $ 2,874.59 $
$ $ $
881.00
$ $ $
223.96 427.51 565.59
Employee +1
101.37 160.01
1,762.00 2,309.00
Family
Western Health Advantage Employee
$
760.17
$ $ $
60.89
$
821.06
$ $
881.00
Employee +1
1,520.34 $ 1,976.44 $
101.37 160.01
1,621.71 $ 2,136.45 $
1,762.00 2,309.00
Family $ Health Plans and Rates listed are for Region 1 Pricing. Employees not living in Region 1 will have different rates Delta Dental Employee 60.89 $ EyeMed Employee
$ $
10.92 20.76 30.45
Employee +1
$ $
101.37 160.01
Employee +1
Family $ City Contribution may change once the new MOU has been approved. Teammates will be notified as appropriate. Family
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