Laserfiche WebLink
PPO Employee +1 $ 1,460.14 $ 1.348.72 $ 111.42 <br /> Employee+2 or more $ 1,898.18 $ 1,763.34 $ 134.84 <br /> PERSCare Employee only $ 889.27 $ 674.36 $ 214.91 <br /> PPO Employee +1 $ 1.778.54 $ 1.348.72 $ 429.82 <br /> Employee+ 2 or more $2.312.10 $ 1,763.34 $ 548.76 <br /> PORAC Employee only $ 699.00 $ 674.36 $ 24.64 <br /> Employee + 1 $ 1.399.00 $ 1.348.72 $ 50.28 <br /> Employee+ 2 or more $ 1,789.00 $ 1,763.34 $ 25.66 <br /> • <br /> • Monthly Employee <br /> Rental Plan Coverage Level Premium Cl Pays Rays <br /> Delta Dental Employee only $ 46.70 $ 48.15 e <br /> Basic Plan Employee+ 1 $ 88.70 $ 91.45 $ - <br /> Employee+ 2 or more $ 138.30 $ 142.55 $ - <br /> Employee only $ 73.80 $ 48.15 $ 25.65 <br /> Employee + 1 $ 143.00 $ 91.45 $ 51.55 <br /> Employee+ 2 or more $ 238.20 $ 142.55 $ 95.65 <br /> Employee only $ 67.20 $ 48.15 $ 19.05 <br /> Employee + 1 $ 131.80 $ 91.45 $ 40.35 <br /> Employee+ 2 or more $ 218.60 $ 142.55 $ 76.05 <br /> �� Monthly Employee <br /> rte•, z � <br /> Vision Plan Coverage Level ` Premium City Pays ,. Pays <br /> EveMed Low Employee only $ 5.88 $ - $ 5.88 <br /> Plan Employee + 1 $ 11.12 $ - $ 11.12 <br /> Employee + 2 or more $ 16.36 $ - $ 16.36 <br /> Employee only $ 11.28 $ - $ 11.28 <br /> Employee+ 1 $ 21.40 $ - $ 21.40 <br /> Employee + 2 or more $ 31.40 $ - $ 31.40 <br /> *Not available in Alameda,Amador, Napa, parts of San Mateo,Solano,Sutter and Yuba counties <br /> **Not available in Marin county <br /> For 2016, the monthly amounts above reflect an increase in the City's contribution amount <br /> as follows: <br /> Employee only +$25 <br /> Employee +1 +$50 <br /> Employee +2 or more +$75 <br /> 5 <br /> SLMO 2015-20 final <br />