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Under Ca1PERS rules, the City will contribute the following amounts as the "employer
<br /> minimum share"per employee per month as determined by Ca1PERS.
<br /> 24.2 Effective with the December 2016 benefit month contributions, the City will contribute the
<br /> monthly amounts including the Ca1PERS Medical Plan "employer minimum share"
<br /> contribution, towards the election of medical and dental benefits in the plan, or the actual
<br /> premiums,whichever is less:
<br /> ' . MonthlyEmployee
<br /> Medical Plan Coverage Level' City Pays
<br /> Preriiium _ 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 $1,348.72 $ 50.28
<br /> Employee + 2 or more 1 $1,789.00 1 $1,763.34 $ 25.66
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