Teammate Handbook Cover

CalPERS Region 1 Health Plan Rates Available for 2024 - POA

Delta Dental PPO

*2024 City Contribution

Total Premium

Employee Pays per month

Medical

Medical in ‐ lieu

$610.00

Anthem Blue Cross Select HMO Employee

1,138.86 $ 2,277.72 $ 2,961.04 $ 1,339.70 $ 2,679.40 $ 3,483.22 $ 1,076.84 $ 2,153.68 $ 2,799.78 $

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

57.85 96.30

1,196.71 $ 2,374.02 $ 3,113.05 $ 1,397.55 $ 2,775.70 $ 3,635.23 $ 1,134.69 $ 2,249.98 $ 2,951.79 $ 1,004.69 $ 1,989.98 $ 2,613.79 $ 1,079.26 $ 2,139.12 $ 2,807.68 $

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

1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51 1,062.60 2,127.42 2,661.51

$ $ $ $ $ $ $ $ $

134.12 246.60 451.55 334.96 648.28 973.72

Employee +1

Family

152.01

Anthem Blue Cross Traditional HMO Employee

57.85 96.30

Employee +1

Family

152.01

Blue Shield Access + HMO Employee

57.85 96.30

72.09

Employee +1

122.56 290.29

Family

152.01

Blue Shield Trio

* See CalPERs Regional Health Premium

Employee

$

946.84

57.85 96.30

Employee +1

1,893.68 $ 2,461.78 $

Family

152.01

Kaiser Permanente

Employee

1,021.41 $ 2,042.82 $ 2,655.67 $

57.85 96.30

$ $ $

16.67 11.70

Employee +1

Family

152.01

146.18

PORAC

Employee

$

931.00

57.85 96.30

$

988.85

Employee +1

2,117.00 $ 2,651.00 $

2,213.30 $ 2,803.01 $

$ $

85.88

Family

152.01

141.51

PERS Gold (Select) PPO Employee

$

914.82

57.85 96.30

$

972.67

Employee +1

1,829.64 $ 2,378.53 $

1,925.94 $ 2,530.54 $

Family

152.01

PERS Platinum PPO (Care and Choice) Employee

1,314.27 $ 2,628.54 $ 3,417.10 $ 1,091.13 $ 2,182.26 $ 2,836.94 $

57.85 96.30

1,372.12 $ 2,724.84 $ 3,569.11 $ 1,148.98 $ 2,278.56 $ 2,988.95 $

$ $ $ $ $ $

309.53 597.42 907.61

Employee +1

Family

152.01

UnitedHealthcare Signature Value Alliance Employee

57.85 96.30

86.39

Employee +1

151.14 327.45

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

Employee +1

$ $

96.30

Employee +1

Family

152.01

Family

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