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20102009 Out-of--State Rates <br />Benefit & <br />Level C~Y-= C~ Employee Benefit & <br />Level ~ C~ Employee <br />Kaiser 1 $433.16 $497.53 $227.16 PERSchoice 1 $4~9-6~ 5504.78 $74.80 <br />Kaiser2 $866.32 $995.06 $454.32 PERSchoice2 X991:34 $1,009.56 $149.60 <br />Kaiser 3+ 51,098.22 1$ ,265.58 5618.61 PERSchoice 3+ ~~,~T $1,284.43 $222.48 <br />In 2011, the 2010 medical and dental rates listed above will be further adjusted by 50% of the <br />chap e, respectively, between the 2010/11 dental rates and the Ca1PERS 2010/11 Bay_Area <br />rates in each individual plan. <br />Employees electing not to enroll in the core flex medical plan (i.e., who wish to waive <br />enrollment in the medical and dental plans) and demonstrate to the satisfaction of the City their <br />enrollment in another medical and dental plan, shall receive two-hundred dollars ($200.00) per <br />month for their non-election of medical and dental benefits. In the event both spouses are <br />employed by the City and eligible to enroll in the City's flex medical benefits plan, one <br />employee may elect not to enroll in the medical and dental plans and will receive two-hundred <br />dollars ($200.00) per month payment if enrolled under spouse's coverage. <br />An employee may elect to waive the medical plan and enroll only in the dental plan and receive <br />one-hundred and fifty dollars ($150.00) per month for their non-election. <br />An employee may elect to waive the dental plan only and enroll only in the medical plan and <br />receive fifty dollars ($50.00) per month for their non-election. <br />Re-enrollment in the medical and/or dental plan shall be allowed only based upon a qualifying <br />event as defined by the IRS codes or during an open enrollment period. <br />In 2011, the above opt-out premiums ,will be increased as follows, based on the employee's <br />status and eli ibility during the 2011 benefit year, in accordance with Internal Revenue Code <br />(IRC) timelines and dualifyin~ events: <br />Employee rate: Medical $200 +/or dental $50 = $250/month maximum <br />Two-party rate: Medical $350 +/or dental $50 = $400/month maximum <br />Family rate: Medical $500 +/or dental $50 = $550/month maximum <br />The parties agree that during the term of this agreement, they will jointly explore various <br />instruments enabling employee savings for retiree medical costs and related purposes. <br />29.2 Under CaIPERS rules, the City will directly contribute the "employer minimum share" towards <br />retiree health coverage. Additional retiree health contributions will be made on a <br />reimbursement basis as set forth below. The amounts listed below are inclusive of the PERS <br />Medical Plan "employer minimum share". <br />29.3 The City shall pay the contributions required by health plan two-party rate for retired City <br />employees who were assigned to classifications represented by the San Leandro City <br />Employees Union and who are currently members of one of the City's health plans. The City <br />shall contribute to the health plan's two-party rate costs, but the maximum amount to be <br />contributed by the City shall not exceed three hundred and sixty dollars ($360.00). In the event <br />the amounts required by the health plans exceed the maximum City contribution, such excess <br />amounts shall be paid by the retiree. Coverage under this section shall continue until the <br />24 <br />