Agmt 2011 SLCEA - Laserfiche WebLink

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2011 Other Northern CA Rates Benefit & Level City Employee Benefit & City Employee Level Blue Shield I 5545.57 $140.10 PERSselect 1 $434.78 $45.12 Blue Shield 2 51,091.15 $280.19 PERSselect 2 5869.57 $90.23 Blue Shield 3+ 51,390.49 $392.25 PERSselect 3+ $1,102.43 $14531 PERSchoice I $469.67 $79.11 PERScare 1 $526.67 $344.09 PERSchoice 2 S939.35 $158.21 PERScare 2 $1,053.35 S688.I7 PERSchoice 3+ 51,193.16 $233.67 P ERScarc 3 $1,341.35 $922.63 Kaiscr 1 S526.43 $47.89 PORAC I $443.09 $41.50 Kaiser 2 51,052.87 $95.77 PORAC 2 $886.17 $80.50 1 Kaiser 3+ 51,340.73 5152.50 PORAC 3 $1,152.02 $131.50 2 Out -of -State Rates Benefit & Level I City Employee Benefit & Level City Employee Kaiser I 527.82 S257.46 PERSchoicc I $553.47 383.50 Kaiser 2 1055.65 $514.91 PERSchoice 2 $1,106.95 $166.99 Kaiser 3+ 1344.35 $697.38 PERSchoice 3+ $1,439.03 S2I7.09 In 2012, the 2011medical and dental rates listed above will be further adjusted by 50% of the change, respectively, between the 2011/12 dental rates and the CaIPERS 2011/12 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 opt out premiums as set forth below. 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 the employee opt -out rate if enrolled under spouse's medical and dental coverage. Employees may elect to opt out of the medical plan only, the dental plan only, or both. Re- enrollment in the medical and/or dental plan shall be allowed only based upon a qualifying event as defined by the IRS codes or during an open enrollment period. Effective 2011, opt -out premiums will be as follows, based on the employee's status and eligibility during the active benefit year, in accordance with Internal Revenue Code (IRC) timelines and qualifying events: Employee rate: Medical $200 + /or dental $50 = $250 /month maximum Two - party rate: Medical $350 + /or dental $50 = $400 /month maximum Family rate: Medical S500 + /or dental $50 = $550 /month maximum The parties agree that during the term of this agreement, they will jointly explore various instruments enabling employee savings for retiree medical costs and related purposes. 29.2 Under CaIPERS rules, the City will directly contribute the "employer minimum share" towards retiree health coverage. Additional retiree health contributions will be made on a reimbursement basis as set forth below. The amounts listed below are inclusive of the PERS Medical Plan "employer minimum share ". 29.3 The City shall pay the contributions required by health plan two -party rate for retired City employees who were assigned to classifications represented by the San Leandro City Employees Union and who are currently members of one of the City's health plans. The City 23