City of Gilroy Benefits Orientation (PD)

HEALTH PLANS AVAILABLE FOR 2018 - GPOA

Medical Rates

Delta Dental

Total Premium

2018 City Contribution

Employee Pays*

Anthem Select HMO Employee CalPERS Bay Area

$856.41 $72.16 $928.57

$833.47

$95.10 $196.34 $333.13

Employee +1 $1,712.82 $126.42 $1,839.24 $1,642.90 Employee+2 $2,226.67 $201.59 $2,428.26 $2,095.13

Anthem Traditional HMO Employee

$925.47 $72.16 $997.63

$833.47

$164.16 $334.46 $512.68

Employee +1 $1,850.94 $126.42 $1,977.36 $1,642.90 Employee+2 $2,406.22 $201.59 $2,607.81 $2,095.13

Blue Shield Access HMO Employee

$889.02 $72.16 $961.18

$833.47

$127.71 $261.56 $417.91

Employee +1 $1,778.04 $126.42 $1,904.46 $1,642.90 Employee+2 $2,311.45 $201.59 $2,513.04 $2,095.13

Health Net SmartCare HMO Employee

$863.48 $72.16 $935.64

$833.47

$102.17 $210.48 $351.51

Employee+1 $1,726.96 $126.42 $1,853.38 $1,642.90 Employee+2 $2,245.05 $201.59 $2,446.64 $2,095.13

UnitedHealthCareAlliance HMO Employee

$1,371.84 $72.16 $1,444.00 $833.47

$610.53

Employee+1 $2,743.68 $126.42 $2,870.10 $1,642.90 Employee+2 $3,566.78 $201.59 $3,768.37 $2,095.13

$1,227.20 $1,673.24

Western Health Advantage HMO Employee

$792.56 $72.16 $864.72

$833.47

$31.25 $68.64 $167.12 $18.55 $43.24 $134.10

Employee+1 $1,585.12 $126.42 $1,711.54 $1,642.90 Employee+2 $2,060.66 $201.59 $2,262.25 $2,095.13

Kaiser

Employee

$779.86 $72.16 $852.02

$833.47

Employee +1 $1,559.72 $126.42 $1,686.14 $1,642.90 Employee+2 $2,027.64 $201.59 $2,229.23 $2,095.13

PERSCare PPO

Employee

$882.45 $72.16 $954.61

$833.47

$121.14 $248.42 $400.83

Employee +1 $1,764.90 $126.42 $1,891.32 $1,642.90 Employee+2 $2,294.37 $201.59 $2,495.96 $2,095.13

PERSChoice PPO

Employee

$800.27 $72.16 $872.43

$833.47

$38.96 $84.06 $187.16

Employee +1 $1,600.54 $126.42 $1,726.96 $1,642.90 Employee+2 $2,080.70 $201.59 $2,282.29 $2,095.13

PERS Select

Employee

$717.50 $72.16 $789.66

$833.47

-$43.81 -$81.48 -$28.04

Employee +1 $1,435.00 $126.42 $1,561.42 $1,642.90 Employee+2 $1,865.50 $201.59 $2,067.09 $2,095.13

PORAC PPO (Police)

Employee

$734.00 $72.16 $806.16

$833.47

-$27.31 $23.52 $76.46

Employee+1 $1,540.00 $126.42 $1,666.42 $1,642.90 Employee+2 $1,970.00 $201.59 $2,171.59 $2,095.13

*The above rates are true if the same dental and medical grouping is elected. DELTA DENTAL DELTA CARE SUPERIOR VISION Employee $72.16 $18.78 $8.34 Employee +1 $126.42 $33.85 $15.81 Employee +2 $201.59 $50.09 $23.21

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