8K Consent 2010 0201 - Laserfiche WebLink

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In 2010, the~ie City will contribute the following monthly amount, including the PERS Medical Plan "employer minimum share" contribution, towards the election of medical and dental benefits in the plan, or the actual premiums, whichever is less:- Dental Rates Level Cit Em to ee Employee $51.23 $0.00 2- art $98.81 0.00 Family $155.37 $0.00 2010993 Bav Area/Sacramento Rates Benefit & Level Ci Em to ee Beoefit & Level Ci Em to ee Blue Shield Access+l e^~ 5495.07 $82.26 PERSselect ] e^~ $454.93 $20.00 Blue Shield Access+2 ~1~H~,63 990.14 5164.51 PERSselect 2 ~86F,~2 5909.86 540.00 Blue Shield Access+3+ e1,a,-~r5:oo 51,259.18 $241.88 PERSselect 3+ e1~,--~~4~~ $1,154.82 580.00 Blue Shield Net Value 1 ~~~ 5472.80 $27.55 PERScare 1 ~E9-~'~ $569.01 $299.16 Blue Shield Net Value 2 $-93x5-99 $945.60 555.10 PERScare 2 $-9~9~4 51 138.02 $598.32 Blue Shield Net Value 3+ e1~z4~.~T 51,201.28 $99.63 PERScare 3+ e1,~-~~~90~ $1,451.42 $805.82 Kaiser CA1 ~48~39 $512.56 520.00 PERSchoice 1 549-~i7 $476.93 $31.81 Kaiser CA2 ~6:F9 $1.025.12 540.00 PERSchoice 2 X39-)-34 $953.86 563.62 Kaiser CA3+ ~1,z41.5S 51,304.66 580.00 PERSchoice 3+ $1,1".74 51,212.01 $110.71 201089} Other Northern CA Rates Benefit & Level Ci Em to ee Beoefit & Level Ci Em to ee Blue Shield 1 $4-8-74 $495.75 590.27 PERSselect 1 $43699 $424.68 $35.01 Blue Shield 2 end $991.50 5180.54 PERSselect 2 Q4~ 5849.36 570.02 B1ueShield3+ e1,s~-z-1QT3 $1,260.95 $262.70 PERSselect 3+ e1~-~-10~,~~ $1,076.]6 $119.03 PERSchoice 1 ~4~9-C7 5441.49 550.92 PERScare 1 ~4R9-3-7 $S ll.45 $299.16 PERSchoice 2 599-1~4 588298 $101.84 PERScare 2 ~~69:74 $1,022.90 $598.32 PERSchoice 3+ $T,T4? 7~ $1,119.88 $160.39 PERScare 3 e1,''~n °~ $1,301.77 $805.82 Kaiser 1 ~~ 5509.02 $30.47 Kaiser 2 ~~7-8:39 $1,018.04 $60.94 Kaiser 3+ e,,~~~~n $1,295.45 $107.22 2010 X199 Out-of--State Rates Benefit & Level Cit Em to ee Benefit & Level Cit ~ Em to ee Kaiser 1 $43-316 $497.53 $227.16 PERSchoice 1 $459:67 504.78 $74.80 Kaiser 2 $~66:3~ $995.06 $454.32 PERSchoice 2 $994-34 $1,009.56 $149.60 Kaiser 3+ Qt noo ~~ $1,265.58 $618.61 PERSchoice 3+ et ' ^2 ~^ $1,284.43 $222.48 Tn 2011 the 2010 medical and dental rates listed above will be further adjusted by 50% of the change respectively between the 2010/11 dental rates and the CaIPERS 2010/11 Bay Area rates in each individual plan. Employees who wish to waive enrollment in the medical and dental plans and who demonstrate to the satisfaction of the City their enrollment in another medical and dental plan, shall receive two-hundred dollars ($200.00) per month for their non-election of medical and dental benefits. In the event both spouses are employed by the City and eligible to enroll in the City's flex medical benefits plan, one employee may elect not to enroll in the medical and dental plans and will receive the two-hundred dollars ($200.00) per month payment, if enrolled under spouse's coverage. 2 SLMO draft to council