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14
Rates for 2017 - 2018
The amount you play for your coverage is outlined below and depends on the plan that you select and
whether you cover dependents on your plan. Please note that there are two set of rates; Classified (Blue) and
Certificated (Green). All premium amounts are tenthly.
CLASSIFIED RATES / TENTHLY
Anthem Blue Cross
Employee Pays (Tenthly)
District Contribution Amount
80 - E : PPO 1
Employee Only
$499.78
$327.02
Employee + 1 Dependent
$918.57
$701.43
Employee + 2 or More Dependents
$1,191.25
$1,086.35
80 - G : PPO 2
Employee Only
$443.38
$327.02
Employee + 1 Dependent
$806.97
$701.43
Employee + 2 or More Dependents
$1,032.85
$1,086.35
80 - M : PPO 3
Employee Only
$135.00
$475.80
Employee + 1 Dependent
$486.57
$701.43
Employee + 2 or More Dependents
$575.65
$1,086.35
High Deductible Health Plan :
HDHP - HSA
Employee Only
$288.58
$327.02
Employee + 1 Dependent
$528.57
$701.43
Employee + 2 or More Dependents
$666.85
$1,086.35
Kaiser Permanente
Employee Pays (Tenthly)
District Contribution Amount
HMO
Employee Only
$340.18
$327.02
Employee + 1 Dependent
$613.77
$701.43
Employee + 2 or More Dependents
$746.05
$1,086.35