8J Consent 2010 0201 - Laserfiche WebLink

Home

A. Pretax conversion of employee contribution toward medical and dental premiums. B. Medical Flexible Spending Account with a maximum employee pretax contribution of three thousand- ($3,000.00) per benefit plan year. C. Dependent Care Flexible Spending Account with a maximum employee pretax contribution of five thousand ($5,000.00) per benefit plan year. The City will maintain a "core flex" mbenefit plan. The core shall consist of the PERS Medical Plan (~s~-Bay Area>a~~e rates) and the existing MetLife dental plan. Under Ca1PERS rules, the City will contribute the following amounts as the "employer minimum share" per employee per month towards the health plan: ~}} 2010 $~~1 X99 105.00 2011 As determined by Ca1PERS In 2010, the~ke City will contribute the following monthly amounts, 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 Ci Em to ee Em to ee $51.23 $0.00 2- a $98.81 $0.00 Famil X155.37 0.00 ~8~}-2010 Bav Area Rates Benefit & Level Ci Em to ee Beneft & Level Ci Em to ee Blue Shield Access+l e^~ $495.07 $82.26 PERSselect 1 543-1-6 $454.93 $20.00 Blue Shield Access+ 2 59~6:~3 $990.14 $164.51 PERSselect 2 $SH6-3~ $909.86 $40.00 Blue Shield Access+3+ "',''a~~ $1,259.18 $241.88 PERSselect 3+ ~~~0>•Q.'z $1,154.82 $80.00 Blue Shield Net Value 1 $4695 $472.80 $27.55 PERScare 1 $4~9-~7 $569.01 $299.16 Blue Shield Net Value 2 ~}~5-99 $945.60 $55.10 PERScare 2 $9f~74 $1,138.02 $598.32 Blue Shield Net Value 3+ $1~1-8.~.C+7 $1,201.28 $99.63 PERScare 3+ e7~~~ ~~ $1,451.42 $805.82 Kaiser CA 1 54-88-9 $512.56 $20.00 PERSchoice 1 $,4~O.~r7 $476.93 $31.81 Kaiser CA 2 $-97f-(9 $1,025.12 540.00 PERSchoice 2 5901-:34 $953.86 $63.62 Kaiser CA 3+ ~'~ ?~~ ~Q $1,304.66 580.00 PERSchoice 3+ e7,~.~4 $1,2]2.01 $110.71 20103AA~3-Other Northern CA Rates Benefit & Level ~3` ~ Employee Benefit & Level ~ C~ Employee Blue Shield 1 548-4 $495.75 590.27 PERSselect 1 $409 $424.68 $35.01 B]ue Shield 2 eO~ $991.50 $180.54 PERSselect 2 T4~ 8$ 49.36 $70.02 Blue Shield 3+ "',~z~6.?~ $],260.95 $262.70 PERSselect 3+ e1,~~~ $1,076.16 $119.03 PERSchoice 1 $450~r7 $441.49 $50.92 PERScare 1 $489~.3~ $511.45 $299.]6 PERSchoice 2 ~90t-34 $882.98 $101.84 PERScare 2 ~9H0~-4 $1,022.90 $598.32 PERSchoice 3+ e~,~4 $1,119.88 $160.39 PERScare3 e1,''~~ L=o 90 $1,301.77 $805.82 Kaiser 1 Q^~ $509.02 $30.47 Kaiser 2 X978-39 $1,018.04 $60.94 Kaiser 3+ e ~a,-~-,-~ ~~ $1,295.45 $107.22 23