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8

Cost of Coverage

Full-time Employees

For benefit eligible Confidential, CSEA, Management, SEIU, Supervisors and Full-Time

UPM employees, the District contributes $1,784.79 per month towards your Medical premium.

The District offers the following plans: Kaiser Traditional, Kaiser Deductible, Blue Shield 100%

and Blue Shield 80% through SISC our Benefits Administrator.

Kaiser Traditional Plan

Total Premium

District

Contribution

Employee

Contribution

Employee Only

824.00

824.00

0.00

Employee + 1

1,610.00

1,610.00

0.00

Family

2,266.00

1,784.79

481.21

Kaiser Deductible Plan

Total Premium

District

Contribution

Employee

Contribution

Employee Only

735.00

735.00

0.00

Employee + 1

1,436.00

1,436.00

0.00

Family

2,020.00

1,784.79

235.21

Blue Shield – 100%

Plan A

($20 Copay)

Total Premium

District

Contribution

Employee

Contribution

Employee Only

1,093.00

1,093.00

0.00

Employee + 1

2,144.00

1,784.79

359.21

Family

3,018.00

1,789.79

1,233.21

Blue Shield – 80%

Plan K

($30 Copay)

Total Premium

District

Contribution

Employee

Contribution

Employee Only

818.00

818.00

0.00

Employee + 1

1,603.00

1,603.00

0.00

Family

2,254.00

1,784.79

469.21