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5

2018 Monthly Premiums

Medical – CalPERS Bay Area Region*

*The Bay Area Region includes Alameda, Amador, Contra Costa, Marin, Napa, Nevada, San Francisco, San Joaquin,

San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, Sutter, and Yuba counties. For other CalPERS region rates

contact the Department of Human Resources at (408) 730-7490. To calculate your bi-weekly employee cost, please

refer to the calculation sheets for your employee group.

Medical plan premiums for 2018 are as follows:

Medical Plan

Employee Only

Employee + 1

Employee + Family

Anthem Select HMO

$856.41

$1,712.82

$2,226.67

Anthem Traditional HMO

$925.47

$1,850.94

$2,406.22

Blue Shield Access+ HMO

$889.02

$1,778.04

$2,311.45

HealthNet SmartCare HMO

$863.48

$1,726.96

$2,245.05

Kaiser CA HMO

$779.86

$1,559.72

$2,027.64

United Healthcare HMO

$1,371.84

$2,743.68

$3,566.78

Western Health Advantage

$792.56

$1,585.12

$2,060.66

PERS Choice PPO

$800.27

$1,600.54

$2,080.70

PERS Select PPO

$717.50

$1,435.00

$1,865.50

PERS Care PPO

$882.45

$1,764.90

$2,294.37

PORAC PPO

$734.00

$1,540.00

$1,970.00

Dental plan premiums for 2018 are as follows:

Dental Plan

Employee only

Employee + 1 Employee + Family

Delta Preferred PPO - Core

$41.62

$78.49

$130.26

Delta Preferred PPO - Buy-up

$58.87

$109.21

$173.86

Difference†

$17.25

$30.72

$43.60

Delta Care DHMO

$21.98

$39.55

$58.51

† Buy-up plan increases coverage, see Dental section. Employee pays the difference between Core and

Buy-up coverage. Cafeteria contributions are not eligible to be applied to Buy-up costs.