Teammate Handbook Cover

CalPERS Region 1 Health Plan Rates Available for 2023 Mgmt/Prof/Conf Employees

Delta Dental PPO

Employee Pays per month

Total Premium *2023 City Contribution

Medical

Medical in-lieu

$610.00

Anthem Blue Cross Select HMO Employee

1,128.83 $ 2,257.66 $ 2,934.96 $ 1,210.71 $ 2,421.42 $ 3,147.85 $ 1,035.21 $ 2,070.42 $ 2,691.55 $

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

60.89

1,189.72 $ 2,359.03 $ 3,094.97 $ 1,271.60 $ 2,522.79 $ 3,307.86 $ 1,096.10 $ 2,171.79 $ 2,851.56 $

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

881.00

$ $ $

308.72 597.03 785.97

Employee +1

101.37 160.01

1,762.00 2,309.00

Family

Anthem Blue Cross Traditional HMO Employee

60.89

881.00

$ $ $

390.60 760.79 998.86

Employee +1

101.37 160.01

1,762.00 2,309.00

Family

Blue Shield Access + HMO Employee

60.89

881.00

$ $ $ $ $ $

215.10 409.79 542.56

Employee +1

101.37 160.01

1,762.00 2,309.00

Family

Blue Shield Trio HMO*

* See CalPERs Regional Health Premium

Employee

$

888.94

60.89

$

949.83

881.00

68.83

Employee +1

1,777.88 $ 2,311.24 $

101.37 160.01

1,879.25 $ 2,471.25 $

1,762.00 2,309.00

117.25 162.25

Family

HealthNet SmartCare

Employee

1,174.50 $ 2,349.00 $ 3,053.70 $

60.89

1,235.39 $ 2,450.37 $ 3,213.71 $

881.00

$ $ $

354.39 688.37 904.71

Employee +1

101.37 160.01

1,762.00 2,309.00

Family

Kaiser Permanente

Employee

$

913.74

60.89

$

974.63

881.00

$ $ $

93.63

Employee +1

1,827.48 $ 2,375.72 $

101.37 160.01

1,928.85 $ 2,535.73 $

1,762.00 2,309.00

166.85 226.73

Family

PERS Gold (Select) PPO Employee

$

825.61

60.89

$

886.50

881.00

$

5.50

Employee +1

1,651.22 $ 2,146.59 $

101.37 160.01

1,752.59 $ 2,306.60 $

1,762.00 2,309.00

Family

PERS Platinum PPO (Care and Choice) Employee

1,200.12 $ 2,400.24 $ 3,120.31 $

60.89

1,261.01 $ 2,501.61 $ 3,280.32 $

881.00

$ $ $

380.01 739.61 971.32

Employee +1

101.37 160.01

1,762.00 2,309.00

Family

UnitedHealthcare SignatureValue Alliance Employee

1,044.07 $ 2,088.14 $ 2,714.58 $

$ $ $

60.89

1,104.96 $ 2,189.51 $ 2,874.59 $

$ $ $

881.00

$ $ $

223.96 427.51 565.59

Employee +1

101.37 160.01

1,762.00 2,309.00

Family

Western Health Advantage Employee

$

760.17

$ $ $

60.89

$

821.06

$ $

881.00

Employee +1

1,520.34 $ 1,976.44 $

101.37 160.01

1,621.71 $ 2,136.45 $

1,762.00 2,309.00

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