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Effective July 1, 2013, the City will contribute the monthly amounts including the CaIPERS <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 /> Monthly - <br /> _;t _ _:_ - :" -,-� _ -„ Premtum <br /> .;; t ` n Employee- , <br /> Medical Plan Coverage2Level 4 rCityPays - Pays ,. <br /> Blue Shield Access + Employee only $784.63 $610.44 $174.19 <br /> HMO Employee + 1 $1,569.26 $1,220.88 $348.38 <br /> Employee + 2 or more $2,040.04 $1,587.14 $452.90 <br /> Blue Shield NetValue* Employee only $670.21 $610.44 $59.77 <br /> HMO Employee + 1 $1,340.42 $1,220.88 $119.54 <br /> Employee + 2 or more $1,742.55 $1,587.14 $155.41 <br /> Kaiser (CA) HMO Employee only $668.63 $610.44 $58.19 <br /> Employee + 1 $1,337.26 $1,220.88 $116.38 <br /> Employee + 2 or more $1,738.44 $1,587.14 $151.30 <br /> PERS Choice - PPO Employee only $667.03 $610.44 $56.59 <br /> Employee + 1 , $1,334.06 $1,220.88 $113.18 <br /> Employee + 2 or more $1,734.28 $1,587.14 $147.14 <br /> PERSCare - PPO Employee only $1,083.11 $610.44 $472.67 <br /> Employee + 1 $2,166.22 $1,220.88 $945.34 <br /> Employee + 2 or more $2,816.09 $1,587.14 $1,228.95 <br /> PERS Select- PPO" Employee only $487.20 $487.20 $0.00 <br /> Employee + 1 $974.40 $974.40 $0.00 <br /> Employee + 2 or more $1,266.72 $1,266.72 $0.00 <br /> PORAC - PPO Employee only $581.00 $581.00 $0.00 <br /> For members of the Police Employee + 1 $1,088.00 $1,088.00 $0.00 <br /> Officers'Research Association Employee + 2 or more $1,382.00 $1,382.00 $0.00 <br /> SLPMU 2 <br />