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2011 Out -of -State Rates <br /> Benefit & Level City I Employee I Benefit & Level I City Employee <br /> Kaiser I 527.82 $257.46 I PERSchoice 1 I 5553.47 $83.50 <br /> Kaiser 2 1055.65 $514.91 1 PERS choice 2 I $1.106.95 $166.99 <br /> Kaiser 3+ 1344.35 I $697.38 I PERSchoice 3+ I $1.439.03 $217.09 <br /> In 2012, employees and City will each pay 50% of the increase in medical and dental <br /> premiums (i.e., 2012 premiums minus 2011 premiums, divided by 2). <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 <br /> their enrollment in another medical and dental plan, shall receive the amounts specified <br /> below. In the event both spouses are employed by the City and eligible to enroll in the <br /> City's flex medical benefits plan. one employee may elect not to enroll in the medical and <br /> dental plans and will receive the two hundred and fifty dollars ($250.00) per month <br /> payment if enrolled under the spouse's coverage. <br /> In 2011 and 2012, opt -out premiums will be as follows, based on the employee's status and <br /> eligibility during the 2011 and 2012 benefit years, respectively, in accordance with Internal <br /> Revenue Code (IRC) timelines and qualifying 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 /> Re- enrollment in the medical and /or 'dental plan shall be allowed only based upon a <br /> qualifying event as defined by the IRS codes or during an open enrollment period. <br /> 24.2 Under CaIPERS rules, the City will directly contribute the "employer minimum share" <br /> towards 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 <br /> PERS Medical Plan "employer minimum share". <br /> 24.3 For employees retiring prior to March 1, 1998, the City shall pay the contributions required <br /> by the health plans' two -party rate for retired City employees who were assigned to <br /> classifications represented by the San Leandro Police Officers' Association and who are <br /> currently members of one of the City's CaIPERS health plans. The City shall contribute to <br /> the health plan two -party rate costs until the retired employee is eligible for Medicare <br /> coverage. The maximum amount to be contributed by the City may not exceed three <br /> hundred sixty dollars ($360.00). In the event the amount required by the health plan <br /> exceeds the maximum City contribution, such excess amount shall be paid by the retiree. <br /> Employees retiring on or after March I, 1998 but before February 28, 2002, shall have the <br /> following option regarding medical insurance: <br /> The City shall implement a "Medicare risk" medical insurance plan (open only to those <br /> employees who are eligible for Medicare at age 65) and shall contribute up to forty dollars <br /> ($40.00) per month toward the cost of the Medicare risk premium. For current employees <br /> not eligible for Medicare at age 65, the City shall continue to provide medical insurance <br /> coverage until age 70 at one half of the pre -65 contribution rate as set forth in this section. <br /> 19 <br /> SI.POA I1 -12 final <br />