Teammate Handbook Cover

CalPERS Region 1 Health Plan Rates Available for 2025 - CSOA

Employee Pays Monthly

Total Premium

*2025 City Contribution

Delta Dental PPO

VSP

Medical

Medical in-lieu

$715.00

Anthem Blue Cross Select HMO Employee

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

$ $

57.85 96.30

$ $ $

18.39 $ 1,332.89 28.57 $ 2,638.17 45.31 $ 3,464.61

$ $ $

1,071.94 2,277.57 2,826.90

$ $ $

260.95 360.60 637.71

Employee +1

Family

$ 152.01

Anthem Blue Cross Traditional HMO Employee

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

$ $

57.85 96.30

$ $ $

18.39 $ 1,576.64 28.57 $ 3,125.67 45.31 $ 4,098.36

$ $ $

1,071.94 2,277.57 2,826.90

$ $

504.70 848.10

Employee +1

Family

$ 152.01

$ 1,271.46

Blue Shield Access + HMO Employee

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

$ $

57.85 96.30

$ $ $

18.39 $ 1,246.41 28.57 $ 2,465.21 45.31 $ 3,239.76

$ $ $

1,071.94 2,277.57 2,826.90

$ $ $

174.47 187.64 412.86

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

$ $ $

18.39 $ 1,211.03 28.57 $ 2,394.45 45.31 $ 3,147.77

$ $ $

1,071.94 2,277.57 2,826.90

$ $ $

139.09 116.88 320.87

Employee +1

Family

$ 152.01

Kaiser Permanente

Employee

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

$ $

57.85 96.30

$ $ $

18.39 $ 1,189.14 28.57 $ 2,350.67 45.31 $ 3,090.86

$ $ $

1,071.94 2,277.57 2,826.90

$ $ $

117.20

Employee +1

73.10

Family

$ 152.01

263.96

PERS Gold (Select) PPO Employee

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

$ $

57.85 96.30

$ $ $

18.39 $ 1,089.94 28.57 $ 2,152.27 45.31 $ 2,832.94

$ $ $

1,071.94 2,277.57 2,826.90

$

18.00

Employee +1

$ (125.30)

Family

$ 152.01

$

6.04

PERS Platinum PPO (Care and Choice) Employee $ 1,476.10

$ $

57.85 96.30

$ $ $

18.39 $ 1,552.34 28.57 $ 3,077.07 45.31 $ 4,035.18

$ $ $

1,071.94 2,277.57 2,826.90

$ $

480.40 799.50

Employee +1

$ 2,952.20 $ 3,837.86

Family

$ 152.01

$ 1,208.28

UnitedHealthcare SignatureValue Alliance Employee $ 1,184.58

$ $

57.85 96.30

$ $ $

18.39 $ 1,260.82 28.57 $ 2,494.03 45.31 $ 3,277.23

$ $ $

1,071.94 2,277.57 2,826.90

$ $ $

188.88 216.46 450.33 18.39 28.57 45.31

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 VSP Employee

$ $ $

Employee +1 $

96.30

Employee +1

$ 152.01

Family

Family

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