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Medical Plan Coverage Level Monthly <br />Premium City Pays Employee <br />Pays <br />Anthem Select Employee only $ 721.79 $ 674.36 $ 47.43 <br />HMO Employee + 1 $ 1,443.58 $ 1,348.72 $ 94.86 <br /> Employee + 2 or more $ 1,876.65 $ 1,763.34 $ 113.31 <br />Anthem Traditional Employee only $ 855.42 $ 674.36 $ 181.06 <br />HMO Employee + 1 $ 1,710.84 $ 1,348.72 $ 362.12 <br /> Employee + 2 or more $ 2,224.09 $ 1,763.34 $ 460.75 <br />Blue Shield Access + Employee only $ 1,016.18 $ 674.36 $ 341.82 <br />HMO Employee + 1 $ 2,032.36 $ 1,348.72 $ 683.64 <br /> Employee + 2 or more $ 2,642.07 $ 1,763.34 $ 878.73 <br />Blue Shield NetValue* Employee only $ 1,033.86 $ 674.36 $ 359.50 <br />HMO Employee + 1 $ 2,067.72 $ 1,348.72 $ 719.00 <br /> Employee + 2 or more $ 2,688.04 $ 1,763.34 $ 924.70 <br />Health Net SmartCare Employee only $ 808.44 $ 674.36 $ 134.08 <br />HMO Employee + 1 $ 1,616.88 $ 1,348.72 $ 268.16 <br /> Employee + 2 or more $ 2,101.94 $ 1,763.34 $ 338.60 <br />Kaiser (CA) Employee only $ 746.47 $ 674.36 $ 72.11 <br />HMO Employee + 1 $ 1,492.94 $ 1,348.72 $ 144.22 <br /> Employee + 2 or more $ 1,940.82 $ 1,763.34 $ 177.48 <br />United Healthcare Employee only $ 955.44 $ 674.36 $ 281.08 <br />HMO Employee + 1 $ 1,910.88 $ 1,348.72 $ 562.16 <br /> 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 /> The monthly amounts above reflect an increase in the City’s contribution amount as <br />follows: <br /> Employee only +$25 Employee +1 +$50 <br />Employee +2 or more +$75 <br />