Teammate Open Enrollment 2021

2021 CalPERS Region 1 Health Plan Rates - Mgmt/Prof/Conf Employees

Medical Premium 2021 City Paid Contribution

Employee Pays per month

$ 610.00

Medical In-Lieu

Anthem Blue Cross Select HMO Employee

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

925.60

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

832.00

$ $ $ $ $ $ $ $ $ $ $

93.60

Employee +1

1,851.20 2,406.56

1,568.00 2,055.00

283.20 351.56

Family

-

Anthem Blue Cross Traditional HMO Employee

1,307.86 2,615.72 3,400.44 1,120.21 2,240.42 2,912.55

832.00

475.86

Employee +1

1,568.00 2,055.00

1,047.72 1,345.44

Family

HealthNet SmartCare

Employee

832.00

288.21 672.42 857.55

Employee +1

1,568.00 2,055.00

Family

-

Kaiser Permanente

Employee

813.64

832.00

$ $

-

Employee +1

1,627.28 2,115.46

1,568.00 2,055.00

59.28

Family

60.46 $ - $

Western Health Advantage Employee

757.02

832.00

$ $

- -

Employee +1

1,514.04 1,968.25

1,568.00 2,055.00

Family

- $ - $

PERS Care PPO

Employee

1,294.69 2,589.38 3,366.19

832.00

$ $ $ $ $ $ $ $ $ $ $

462.69

Employee +1

1,568.00 2,055.00

1,021.38 1,311.19

Family

-

PERS Choice PPO

Employee

935.84

832.00

103.84 303.68 378.18

Employee +1

1,871.68 2,433.18

1,568.00 2,055.00

Family

-

PERS Select PPO

Employee

566.67

832.00

- - -

Employee +1

1,133.34 1,473.34

1,568.00 2,055.00

Family

Any surplus amount from the City contribution can only be applied to a Delta Dental option, not EyeMed. The amounts listed below are paid by the employee. Delta Dental EyeMed

Employee

$ $ $

60.89

Employee

$ $ $

10.92 20.76 30.45

Employee +1

101.37 160.01

Employee +1

Family

Family