ATTACHMENT A
CITY OF ANAHEIM
HEALTH & WELFARE PLAN CARRIERS AND RATES – 2024
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
LONG TERM DISABILITY INSURANCE (The Hartford)
APA (per $100 of covered wages) $0.320 $0.300
All other employees (per $100 of covered wages $0.370 $0.330 SHORT TERM DISABILITY ADVICE TO PAY WITH CHECK CUTTING SERVICES (The Hartford) Per employee $1.82 $1.82
BASIC TERM LIFE INSURANCE (The Hartford)
All employees (per $1,000 volume) $0.055 $0.055 Dependents (per $10,000 unit) $0.769 $0.769 GROUP AD&D (The Hartford)
Basic AD&D (per $1,000 volume) $0.015 $0.015 Supplemental AD&D, Management Only (per $1,000 volume) $0.038 $0.038 SUPPLEMENTAL TERM LIFE INSURANCE (The Hartford)
Management employees
IBEW, AMEA, Fire Association, AFSCME Confidential, & Non-Represented employees Age Banded
(Per $1,000 volume)
2023 2024
Under 35 $0.06 $0.06
35 – 39 $0.08 $0.08
40 – 44 $0.12 $0.12
45 – 49 $0.20 $0.20
50 – 54 $0.30 $0.30
55 – 59 $0.48 $0.48
60 – 64 $0.60 $0.60
65 – 69 $1.10 $1.10
70 – 74 $1.84 $1.84
75 + $3.60 $3.60
2024 Health and Welfare Plan Rates – Attachment A
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
DENTAL ADMINISTRATIVE SERVICES (Delta Dental PPO)
Per employee $6.24 $6.24
DELTA DENTAL HMO (ACTIVE AND RETIREE)
Single $17.55 $17.55
2 Party $29.03 $29.03
Family $42.90 $42.90
DELTA DENTAL PPO (ACTIVE AND RETIREE)
Single $58.65 $58.65
2 Party $99.71 $99.71
Family $152.47 $152.47
FLEXIBLE SPENDING ACCOUNT ADMINISTRATIVE FEE (Igoe Administrative Services) Per employee $3.50 $3.50
HEALTH SAVINGS ACCOUNT (HSA) ADMINISTRATIVE FEE (Igoe Administrative Services) Per employee $1.30 $1.30
COBRA SERVICES ADMINISTRATIVE FEE (Igoe Administrative Services) Per employee $0.42 $0.42
EMPLOYEE ASSISTANCE PROGRAM (REACH)
Per full-time employee per month $2.25 $2.25
Flat monthly fee (all part-time employees) $950.00 $950.00
VITALITY WELLNESS PROGRAM
Per benefit-eligible employee per month* $3.79 $3.50
* Vitality’s fees are paid by medical plan carrier funds and the City does not incur a cost to offer the program. 2024 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (ACTIVE)
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
BLUE SHIELD ACCESS + HMO
Single $821.59 $974.40
2 Party $1,646.58 $1,952.84
Family $2,328.88 $2,762.04
BLUE SHIELD TRIO HMO
Single $669.68 $768.14
2 Party $1,342.13 $1,539.46
Family $1,898.28 $2,177.38
BLUE SHIELD PPO SAVINGS WITH HSA OPTION
Single $1,152.80 $1,367.78
2 Party $2,305.59 $2,735.54
Family $3,262.42 $3,870.81
BLUE SHIELD FULL PPO
Single $1,373.59 $1,630.05
2 Party $2,747.21 $3,260.13
Family $3,887.31 $4,613.09
KAISER CALIFORNIA (HMO)
Single $623.13 $699.18
2 Party $1,246.26 $1,398.36
Family $1,763.47 $1,978.68
KAISER CALIFORNIA – HMO Part-Time Plan 1
Single $548.85 $615.47
2 Party $1,097.71 $1,230.94
Family $1,553.25 $1,741.77
KAISER CALIFORNIA-HMO Part-Time Plan 2
Single $623.13 $699.18
2 Party $1,246.26 $1,398.36
Family $1,763.47 $1,978.68
2024 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (PRE-65 RETIREE)
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
BLUE SHIELD ACCESS + HMO
Single $997.03 $1,182.81
2 Party $1,998.16 $2,370.49
Family $2,826.18 $3,352.80
BLUE SHIELD TRIO HMO
Single $812.35 $932.05
2 Party $1,628.02 $1,867.92
Family $2,302.69 $2,642.01
BLUE SHIELD PPO SAVINGS
Single $1,290.46 $1,531.37
2 Party $2,580.93 $3,062.76
Family $3,652.02 $4,333.81
BLUE SHIELD FULL PPO
Single $1,774.33 $2,106.17
2 Party $3,548.67 $4,212.35
Family $5,021.36 $5,960.47
KAISER CALIFORNIA (HMO)
Single $747.34 $838.59
2 Party $1,494.68 $1,677.18
Family $2,114.97 $2,373.21
KAISER HMO COLORADO
Single $1,500.00 $1,643.00
2 Party $3,000.00 $3,285.00
Family $4,335.00 $4,747.00
KAISER HMO HAWAII
Single $975.70 $1,034.83
2 Party $1,951.41 $2,069.65
Family $2,927.11 $3,104.48
2024 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (PRE-65 RETIREE) CONTINUED
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
KAISER HMO NORTHWEST LIMITED
Single $1,115.14 $1,238.92
2 Party $2,230.27 $2,477.83
Family $3,345.41 $3,716.75
UNITED HEALTHCARE HMO
Single $3,423.85 $3,934.00
2 Party $6,843.21 $7,862.85
Family $9,648.57 $11,086.21
2024 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (POST-65 RETIREE)
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
BLUE SHIELD ACCESS + HMO WITH RX PDP
Single $899.23 $1,066.63
2 Party $1,800.88 $2,136.13
BLUE SHIELD CMED WITH OR WITHOUT RX PDP
Single $1,336.59 $1,586.17
2 Party $2,673.20 $3,172.37
BLUE SHIELD PPO SAVINGS WITH RX PDP
Single $873.03 $1,031.94
2 Party $2,160.50 $2,063.88
Family $2,384.05 $3,089.64
BLUE SHIELD FULL PPO WITH RX PDP
Single $1,165.30 $1,382.69
2 Party $2,330.57 $2,765.35
Family $3,348.82 $4,328.85
BLUE SHIELD MEDICARE ADVANTAGE (HMO)
Single $391.10 $391.10
2 Party $782.20 $782.20
BLUE SHIELD MEDICARE ADVANTAGE (PPO)
Single $611.64 $611.64
2 Party $1,223.28 $1,223.28
HUMANA MEDICARE ADVANTAGE (PPO) – NEW FOR 2024
Single NA $366.89
2 Party NA $733.78
KAISER CALIFORNIA - SENIOR ADVANTAGE (HMO)
Retiree $159.55 $185.54
Retiree & Spouse, One Medicare $906.89 $1,024.97
Retiree & Spouse, One Medicare & Child(ren) $1,527.18 $1,721.70 Retiree & Spouse, Two Medicare & Child(ren) $939.39 $1,067.81 Retiree, Part B Only $471.55 $497.54
2024 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (POST-65 RETIREE) CONTINUED
PLAN NAME TOTAL PLAN COST/MONTHLY
2023 2024
KAISER CALIFORNIA – DOUBLE COVERAGE
Single $141.77 $143.00
2 Party $283.54 $286.00
KAISER SENIOR ADVANTAGE COLORADO
Retiree $235.00 $235.00
Retiree & Spouse, One Medicare $1,735.00 $1,878.00
Retiree & Spouse, Two Medicare $470.00 $470.00
Retiree & Spouse, One Medicare & Child(ren) $3,070.00 $3,340.01 Retiree & Spouse, Two Medicare & Child(ren) $1,970.00 $1,932.00
KAISER SENIOR ADVANTAGE HAWAII HMO
Retiree $405.71 $365.34
Retiree & Spouse, One Medicare $1,381.41 $1,400.17
Retiree & Spouse, Two Medicare $811.42 $730.68
Retiree & Spouse, One Medicare & Child(ren) $2,357.11 $2,435.00 Retiree & Spouse, Two Medicare & Child(ren) $1,787.12 $1,765.51
KAISER SENIOR ADVANTAGE NORTHWEST LIMITED HMO
Retiree $317.30 $341.91
Retiree & Spouse, One Medicare $1,432.44 $1,580.83
Retiree & Spouse, Two Medicare $634.60 $683.82
Retiree & Spouse, One Medicare & Child(ren) $2,547.58 $2,819.75 Retiree & Spouse, Two Medicare & Child(ren) $1,749.74 $1,922.74
UNITED HEALTHCARE MEDICARE HMO
Retiree $340.07 $340.07
Retiree & Spouse, One Medicare $3,763.92 $4,274.07
Retiree & Spouse, Two Medicare $680.14 $680.14
Retiree & Spouse, One Medicare & Child(ren) $6,569.28 $7,497.43 Retiree & Spouse, Two Medicare & Child(ren) $3,485.50 $3,903.50