Teammate Handbook Cover

CalPERS Region 1 Health Plan Rates Available for 2025 - POA

Employee Pays per month

Total Premium

Delta Dental PPO

*2025 City Contribution

Medical

Medical in-lieu

$610.00

Anthem Blue Cross Select HMO Employee

$ 1,256.65 $ 2,513.30 $ 3,267.29 $ 1,500.40 $ 3,000.80 $ 3,901.04 $ 1,170.17 $ 2,340.34 $ 3,042.44 $ 1,134.79 $ 2,269.58 $ 2,950.45 $ 1,112.90 $ 2,225.80 $ 2,893.54

$ $

57.85 96.30

$ 1,314.50 $ 2,609.60 $ 3,419.30 $ 1,558.25 $ 3,097.10 $ 4,053.05 $ 1,228.02 $ 2,436.64 $ 3,194.45 $ 1,192.64 $ 2,365.88 $ 3,102.46 $ 1,170.75 $ 2,322.10 $ 3,045.55 $ 1,032.85 $ 2,314.30 $ 2,929.01 $ 1,071.55 $ 2,123.70 $ 2,787.63 $ 1,533.95 $ 3,048.50 $ 3,989.87 $ 1,242.43 $ 2,465.46 $ 3,231.92

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05 1,158.23 2,318.89 2,901.05

$ $ $

156.27 290.71 518.25

Employee +1

Family

$ 152.01

Anthem Blue Cross Traditional HMO Employee

$ $

57.85 96.30

$ $

400.02 778.21

Employee +1

Family

$ 152.01

$ 1,152.00

Blue Shield Access + HMO Employee

$ $

57.85 96.30

$ $ $ $ $ $ $ $ $

69.79

Employee +1

117.75 293.40

Family

$ 152.01

Blue Shield Trio

* See CalPERs Regional Health Premium

Employee

$ $

57.85 96.30

34.41 46.99

Employee +1

Family

$ 152.01

201.41

Kaiser Permanente

Employee

$ $

57.85 96.30

12.52

Employee +1

3.21

Family

$ 152.01

144.50

PORAC

Employee

$

975.00

$ $

57.85 96.30

$- $-

Employee +1

$ 2,218.00 $ 2,777.00

Family

$ 152.01

$

27.96

PERS Gold (Select) PPO Employee

$ 1,013.70 $ 2,027.40 $ 2,635.62 $ 1,476.10 $ 2,952.20 $ 3,837.86

$ $

57.85 96.30

$- $- $-

Employee +1

Family

$ 152.01

PERS Platinum PPO (Care and Choice) Employee

$ $

57.85 96.30

$ $

375.72 729.61

Employee +1

Family

$ 152.01

$ 1,088.82

UnitedHealthcare Signature Value Alliance Employee $ 1,184.58

$ $

57.85 96.30

$ $ $

84.20

Employee +1

$ 2,369.16 $ 3,079.91

146.57 330.87

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

$ $ $ $ $ $

10.92 20.76 30.45 18.39 28.57 45.31

Employee +1

$ $

96.30

Employee +1

Family

152.01

Family

VSP

Employee

Employee +1

Family

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