Agmt 2010 SLCEA - Laserfiche WebLink

Home

2010 $ 105.00 2011 As determined by Ca1PERS In 2010, the 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 City Em lo~~ee Em to ee $51.23 $0.00 2- a $98.81 $0.00 Famil $155.37 $0.00 2010 Bay Area- Rates Benefit & Level City Em to gee Benefit & Level Citv Em lovee Blue Shield Access+l $495.07 $82.26 PERSselect 1 $454.93 $20.00 Blue Shield Access+ 2 $990.14 $164.51 PERSselect 2 $909.86 $40.00 Blue Shield Access+ 3+ $1,259.18 $241.88 PERSselect 3+ $1,154.82 $80.00 Blue Shield Net Value 1 $472.80 $27.55 PERScare 1 $569.01 $299.16 Blue Shield Net Value 2 $945.60 $55.10 PERScare 2 $1,138.02 $598.32 Blue Shield Net Value 3+ $1,201,28 $99.63 PERScare 3+ $1,451.42 $805.82 Kaiser CA 1 $512.56 $20.00 PERSchoice 1 $476.93 $31.81 Kaiser CA 2 $1,025.12 $40.00 PERSchoice 2 $953.86 $63.62 Kaiser CA 3+ $1,304.66 $80.00 PERSchoice 3+ $1,212.01 $110.71 2010 Other Northern CA Rates Benefit & Level City Em lovee Benefit & Level City Em lovee Blue Shield 1 $495.75 $90.27 PERSselect 1 $424.68 $35.01 Blue Shield 2 $991.50 $180.54 PERSselect 2 $849.36 $70.02 Blue Shield 3+ $1,260.95 $262.70 PERSselect 3+ $1,076.16 $119.03 PERSchoice 1 $441.49 $50.92 PERScare 1 $511.45 $328.86 PERSchoice 2 $882.98 $101.84 PERScare 2 $1,022.90 $657.72 PERSchoice 3+ $1,119.88 $160.39 PERScare 3 $1,301.77 $883.04 Kaiser 1 $509.02 $30.47 Kaiser 2 $1,018.04 $60.94 Kaiser 3+ $1,295.45 $107.22 2010 Out-of--State Rates Benefit & Level City Em lovee Benett & Level Citv Em lovee Kaiser 1 $497.53 $227.16 PERSchoice 1 $504.78 $74.80 Kaiser 2 $995.06 $454.32 PERSchoice 2 $1,009.56 $149.60 Kaiser 3+ $1,265.58 $618.61 PERSchoice 3+ $1,284.43 $222.48 In 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 electing not to enroll in the core flex benefit plan (i.e., who wish to waive enrollment in the medical and dental plans) and 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 benefits plan, one employee may elect not to enroll in the medical and dental plans and will receive two-hundred dollars ($200.00) per month payment if enrolled under spouse's coverage. 23