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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 $145.31 <br />PERSchoice 1 $469.67 $79.11 PERScare 1 $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 1 $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 /> <br />2011 Out-of-State Rates <br />Benefit & Level City Employee Benefit & Level City Employee <br />Kaiser 1 527.82 $257.46 PERSchoice 1 $553.47 $83.50 <br />Kaiser 2 1055.65 $514.91 PERSchoice 2 $1,106.95 $166.99 <br />Kaiser 3+ 1344.35 $697.38 PERSchoice 3+ $1,439.03 $217.09 <br /> <br />In 2012, the 2011medical and dental rates listed above will be further adjusted by 50% of the <br />change, respectively, between the 2011/12 dental rates and the CalPERS 2011/12 Bay Area <br />rates in each individual plan.In January 2014 and 2015, employees and City will each pay 50% <br />of the increase or decrease in medical and dental premiums based upon Kaiser Bay Area <br />medical and the Basic dental plan (i.e., 2014 premiums minus 2013 premiums, divided by 2 <br />etc.). <br />Employees electing not to enroll in the core flex benefit plan (i.e., who wish to waive <br />enrollment in the medical and dental plans) and demonstrate to the satisfaction of the City their <br />enrollment in another medical and dental plan, shall receive opt out premiums as set forth <br />below. In the event both spouses are employed by the City and eligible to enroll in the City’s <br />flex benefits plan, one employee may elect not to enroll in the medical and dental plans and will <br />receive the employee opt-out rate if enrolled under spouse’s medical and dental coverage. <br /> <br /> Employees may elect to opt out of the medical plan only, the dental plan only, or both. <br /> <br /> Re-enrollment in the medical and/or dental plan shall be allowed only based upon a qualifying <br />event as defined by the IRS codes or during an open enrollment period. <br /> <br /> Opt-out premiums will be as follows, based on the employee’s status and eligibility during the <br />active benefit year, in accordance with Internal Revenue Code (IRC) timelines and qualifying <br />events: <br /> <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 /> <br /> The parties agree that during the term of this agreement, they will jointly explore various <br />instruments enabling employee savings for retiree medical costs and related purposes. <br /> <br />29.2 Under CalPERS rules, the City will directly contribute the “employer minimum share” towards <br />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 PERS <br />Medical Plan “employer minimum share”. <br /> <br />29.3 The City shall pay the contributions required by health plan two-party rate for retired City <br />employees who were assigned to classifications represented by the San Leandro City <br />25