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Employee+ 2 or more $ 2.484.14 $ 1,763.34 $ 720.80 <br /> PERS Choice Employee only $ 798.36 $ 674.36 $ 124.00 <br /> PPO Employee + 1 $ 1.596.72 $ 1,348.72 $ 248.00 <br /> Employee + 2 or more $ 2,075.74 $ 1.763.34 $ 312.40 <br /> PERS Select** Employee only $ 730.07 $ 674.36 $ 55.71 <br /> 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 /> Monthly Employee. <br /> Dental Plan Coverage Level Premium City Pays Pays <br /> Delta Dental Employee only $ 46.70 $ 48.15 Q <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 /> VisiIN <br /> on 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 /> 26 <br />