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204-02011 $ 4108.00 <br /> 20442012 As determined by CaIPERS <br /> In 202 -02011, the City will contribute the following monthly amounts, including the PERS <br /> Medical Plan "employer minimum share" contribution, towards the election of medical and <br /> dental benefits in the plan, or the actual premiums, whichever is less: <br /> Den4441- 12»tes <br /> Level City Employee <br /> Fmplovee $&h2 -3 S0,00 <br /> 2-panv S9-8,434- $0:00 <br /> Family $155.37 So:00 <br /> 241.10 -131t • .:e-ea -Rules <br /> Benefit-&--Level Gild Employee I3enefi -& -Level City Kmphwee <br /> 13I0n'Sh ell Aecess'4 $195.07 $52.36 PERSt eleet -F S-454+93 524,00 <br /> 1310e- Shill. loco :s' 3 5990.14 S4643 -1- PERS :Arcs 2 $90946 5111:00 <br /> Blue-$ eh4Acccss' 3 $1159,4% 5211. %% PERS. elan 3+ 51.151. %2 5%9:011 <br /> I4hoe-Shiels4-Net-Vak,e 1 5332,140 $27.55 1 -4 556.9.( 4 $2- 9944(1 <br /> 14h • Chi • ',�,.,,,�, l -Nei tr•' . 2 594360 S55 440 PERSt 'are-3 S4.138.t)3 $59R --'• - <br /> RhtrShield- Net-Voh +e 553- 201:2% 59 *.(3 Pli44Sonre3+ S-1+444+42 U0544 <br /> K;ti:er -CA t $54.2456 $20.00 PEI Se1K»ee -4 5476.93 53+8+ <br /> Kaivr -Cn3 51102542 $40:00 P4RSI+e4&te $9_53:%01 S63,62 <br /> Kaser -GA 3+• 51.34'i.M. 5410:00 1 -3 5-6242,04 $1444474 <br /> 211 N1- Ckher- NetEther- n- CA- Rtttes <br /> Benefit- & -1,evel GIB: Employee 14enefit & -Level City Employee <br /> 1310vwltielel -4 5495 $9027 PERSseleeW 54 -24:64 534:01 <br /> Rh+e- Shieh42 5994.-50 5180.51 1 -2 S4 $70:112 <br /> 1314m- Shieh -3 SI- 240,4.5 526240 PEItS4e4ee43+• 51:076,1-6 5119.03 <br /> PEliSsil ies F $444-49 5:50.92 RERSeere 4 554 L 15 5:2%. %6 <br /> 1 S$%2:945 $40444 REK.Sexre -2 SI:022 -90 S457.72 <br /> 1 -3+ 54- 419441 5+60439 1 -3 S- 1+.301-77 $%% -34M <br /> Kaiser -4 5509:02 53+3 -47 <br /> Kaiser -2 5 t Y.04 564k -o4 <br /> Kaiser -3+ 51.295.15 5407.23 <br /> 20-1 -0 -0w- tf- State- Rittes <br /> Iterrei4& -Level Gitv Employee Benefit -& -Level Gitv Employee <br /> Keiser -1- 5497.53 $227.46 PERSehoiee -4 $5113.78 574:430 <br /> Keiser-2. ' S995:06 &14 L32 PERSeheic-e2 54.00956 544940 <br /> I:tLLer 3 5I- 24 S64&61 I I Selrrtiee -3+ 51.2111.13 - 5222.414 <br /> 2011 Basic Dental Rates <br /> Level Cite Employee <br /> Employee $52.5 1 $1.28 <br /> 2 -party $10128 $2.47 <br /> Family S159.26 $3.88 <br /> 2011 13av Area- Rates <br /> Benefit & Level City Emnlnyec Benefit & Level City Employee <br /> 1311Ic Shield Access +I 5544.16 5131.35 I'ERSselect 1 5131.35 528.87 <br /> Blue Shield Access+ 2 SI088.32 S262.70 PEItSselect 2 5262.70 557.75 <br /> Blue Shield Access+ 3+ 51,386.82 5369.51 I'13RSsclect 3+ 5369.51 5103.07 <br /> Blue Shield Nei Value I 5513.25 567.99 l'ERScare 1 558190 S312.05 <br /> Blue Shield Net Value 2 51.026.49 5135.99 I'ERScare 2 51,163.80 5624.10 <br /> 23 <br />