Teammate Handbook Cover

CalPERS Region 1 Health Plan Rates Available for 2022 - POA

Delta Dental PPO

*2021 City Contribution

Total Premium

Employee Pays per month

Medical

Medical in-lieu

$610.00

Anthem Blue Cross Select HMO Employee

1,015.81 $ 2,031.62 $ 2,641.11 $ 1,304.00 $ 2,608.00 $ 3,390.40 $ 1,116.01 $ 2,232.02 $ 2,901.63 $ 1,153.00 $ 2,306.00 $ 2,997.80 $

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

60.89

1,076.70 $ 2,132.99 $ 2,801.12 $ 1,364.89 $ 2,709.37 $ 3,550.41 $ 1,176.90 $ 2,333.39 $ 3,061.64 $ 1,213.89 $ 2,407.37 $ 3,157.81 $ 802.15 $ 1,583.89 $ 2,087.29 $ 1,567.90 $ 2,215.39 $ 2,908.24 $ 859.89 $ 1,826.37 $ 2,379.01 $ 762.12 $ 1,503.83 $ 1,983.21 $ 917.95 $ 1,815.49 $ 2,388.37 $

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

908.00

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

168.70 315.99 528.12

Employee +1

101.37 160.01

1,817.00 2,273.00

Family

Anthem Blue Cross Traditional HMO Employee

60.89

908.00

456.89 892.37

Employee +1

101.37 160.01

1,817.00 2,273.00

Family

1,277.41

Blue Shield Access +

Employee

60.89

908.00

268.90 516.39 788.64 305.89 590.37 884.81

Employee +1

101.37 160.01

1,817.00 2,273.00

Family

HealthNet SmartCare

Employee

60.89

908.00

Employee +1

101.37 160.01

1,817.00 2,273.00

Family

Kaiser Permanente

Employee

$

857.06

60.89

$

908.00 1,817.00

$

9.95

Employee +1

1,714.12 $ 2,228.36 $

101.37 160.01

$

Family

$

2,273.00

$

115.37

Western Health Advantage Employee

$

741.26

60.89

$ $ $

908.00

Employee +1

1,482.52 $ 1,927.28 $

101.37 160.01

1,817.00 2,273.00

Family

PERS Platinum PPO (Care and Choice) Employee

1,507.01 $ 2,114.02 $ 2,748.23 $

60.89

$ $ $

908.00

$ $ $

659.90 398.39 635.24

Employee +1

101.37 160.01

1,817.00 2,273.00

Family

PORAC

Employee

$

799.00

60.89

$

908.00

Employee +1

1,725.00 $ 2,219.00 $

101.37 160.01

$ $

1,817.00 2,273.00

$ $

9.37

Family

106.01

PERS Gold (Select) PPO Employee

$

701.23

60.89

$ $

908.00

Employee +1

1,402.46 $ 1,823.20 $

101.37 160.01

1,817.00 2,273.00

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