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2011 Basic Dental Rates <br /> Employee $52.51 $1.28 <br /> 2 -party $101.28 $2.47 <br /> Family $159.26 $3.88 <br /> 2011 Ba Area- Medical Rates <br /> Blue Shield Access +l $544.16 $13135 PERSselect I $131.35 $28.87 <br /> 1 Blue Shield Access+ 2 $1,088.32 $262.70 PERSselect 2 $262.70 $57.75 <br /> Blue Shield Access+ 3+ $1,386.82 $369.51 PERSselect 3+ $369.51 $103.07 <br /> Blue Shield Net Value I $513.25 $67.99 PERScare 1 $581.90 j $312.05 <br /> Blue Shield Net Value 2 $1,026.49 $135.99 PERScare 2 $1,163.80 $624.10 <br /> Blue Shield Net Value 3+ $1,306.44 $204.78 PERScare 3+ $1,484.94 $839.33 <br /> Kaiser CA 1 $530.78 $38.21 PERSchoice 1 $ 504.26 $ 59.14 <br /> Kaiser CA 2 $1,061.55 $76.43 PERSchoice 2 $ 1,008.52 $ 118.28 <br /> Kaiser CA 3+ $1,352.02 $12735 PERSchoice 3+ S 1,283.07 $ 181.77 <br /> PORAC 1 S 485.50 $ 41.50 <br /> PORAC 2 $ 906.50 $ 80.50 <br /> I PORAC 3 j 5 1,122.50 $ 131.50 <br /> 2011 Other Northern CA Medical Rates <br /> Blue Shield 1 $545.57 $140.10 PERSselect 1 $434.78 $45.12 <br /> Blue Shield 2 $1,091.15 $280.19 PERSselect 2 $869.57 $90.23 <br /> Blue Shield 3+ $1,390.49 $392.25 PERSselect 3+ $1,102.43 S145.31 <br /> PERSchoice 1 $469.67 $79.11 PERScare l $526.67 $344.09 <br /> PERSchoice 2 $939.35 $158.21 PERScare 2 $1,053.35 $688.17 <br /> PERSchoice 3+ $1,193.16 $233.67 PERScare 3 $1,341.35 $922.63 <br /> Kaiser 1 $526.43 $47.89 PORAC I $443.09 $41.50 <br /> Kaiser 2 $1,052.87 $95.77 PORAC 2 $886.17 $80.50 <br /> Kaiser 3+ $1,340.73 $152.50 PORAC 3 $1,152.02 $131.50 <br /> 2011 Out -of -State Medical Rates <br /> 1 <br /> Kaiser 1 527.82 $257.46 PERSchoice I $553.47 $83.50 <br /> 1 Kaiser 2 1055.65 $514.91 PERSchoice 2 $1.106.95 S166.99 <br /> 1 Kaiser 3+ 1344.35 $697.38 PERSchoice 3+ $ 1,439.03 $217.09 <br /> In 2012, the 2011 medical and dental rates listed above will be further adjusted by 50% of <br /> the change, respectively, between the 2011/12 dental rates and the Ca1PERS 2011/12 Bay <br /> Area medical rates in each individual plan. <br /> Employees who wish to waive enrollment in the medical and dental plans and who <br /> demonstrate to the satisfaction of the City their enrollment in another medical and dental <br /> plan will receive opt -out payments as follows, based on the employee's status and eligibility <br /> during the active benefit year, in accordance with Internal Revenue code (IRC) timelines <br /> 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 /> 2 <br /> SLMC} final 2010 <br />