ATTACHMENT A
CITY OF ANAHEIM
HEALTH & WELFARE PLAN CARRIERS AND RATES – 2025
PLAN NAME
TOTAL PLAN COST/MONTHLY
2025
LONG TERM DISABILITY INSURANCE (The Hartford)
• APA (per $100 of covered wages) $0.300
• All other employees (per $100 of covered wages) $0.330 SHORT TERM DISABILITY ADVICE TO PAY WITH CHECK CUTTING SERVICES (The Hartford) • Per employee $1.82
BASIC TERM LIFE INSURANCE (The Hartford)
• All employees (per $1,000 volume) $0.055
• Dependents (per $10,000 unit) $0.769
GROUP AD&D (The Hartford)
• Basic AD&D (per $1,000 volume) $0.015
• Supplemental AD&D, Management Only (per $1,000 volume) $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)
2025
Under 35 $0.06
35 – 39 $0.08
40 – 44 $0.12
45 – 49 $0.20
50 – 54 $0.30
55 – 59 $0.48
60 – 64 $0.60
65 – 69 $1.10
70 – 74 $1.84
75 + $3.60
2025 Health and Welfare Plan Rates – Attachment A
PLAN NAME TOTAL PLAN COST/MONTHLY
2025
DENTAL ADMINISTRATIVE SERVICES (Delta Dental PPO)
• Per employee $6.24
DELTA DENTAL HMO (ACTIVE AND RETIREE)
• Single $17.55
• 2 Party $29.03
• Family $42.90
DELTA DENTAL PPO (ACTIVE AND RETIREE)
• Single $58.65
• 2 Party $99.71
• Family $152.47
FLEXIBLE SPENDING ACCOUNT ADMINISTRATIVE FEE (Igoe Administrative Services) • Per employee $3.50
HEALTH SAVINGS ACCOUNT (HSA) ADMINISTRATIVE FEE (Igoe Administrative Services) • Per employee $1.30
COBRA SERVICES ADMINISTRATIVE FEE (Igoe Administrative Services) • Per employee $0.42
EMPLOYEE ASSISTANCE PROGRAM (REACH)
• Per full-time employee per month $2.25
• Flat monthly fee (all part-time employees) $950.00
VITALITY WELLNESS PROGRAM
• Per benefit-eligible employee per month* $3.50
* Vitality’s fees are paid by medical plan carrier funds and the City does not incur a cost to offer the program. 2025 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (ACTIVE)
PLAN NAME TOTAL PLAN COST/MONTHLY
2025
BLUE SHIELD ACCESS + HMO
• Single $1.028.06
• 2 Party $2,060.39
• Family $2,914.16
BLUE SHIELD TRIO HMO
• Single $810.47
• 2 Party $1,624.31
• Family $2,297.40
BLUE SHIELD PPO SAVINGS WITH HSA OPTION
• Single $1,443.03
• 2 Party $2,886.06
• Family $4,083.80
BLUE SHIELD FULL PPO
• Single $1,719.70
• 2 Party $3,439.45
• Family $4,866.83
KAISER CALIFORNIA (HMO)
• Single $768.44
• 2 Party $1,536.88
• Family $2,174.69
KAISER CALIFORNIA – HMO Part-Time Plan 1
• Single $676.59
• 2 Party $1,353.19
• Family $1,914.76
2025 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (PRE-65 RETIREE)
PLAN NAME TOTAL PLAN COST/MONTHLY
2025
BLUE SHIELD ACCESS + HMO
• Single $1,247.91
• 2 Party $2,500.97
• Family $3,537.35
BLUE SHIELD TRIO HMO
• Single $983.39
• 2 Party $1,970.81
• Family $2,787.54
BLUE SHIELD PPO SAVINGS
• Single $1,615.61
• 2 Party $3,231.24
• Family $4,572.21
BLUE SHIELD FULL PPO
• Single $2,221.97
• 2 Party $4,443.95
• Family $6,288.19
KAISER CALIFORNIA (HMO)
• Single $921.70
• 2 Party $1,843.39
• Family $2,608.40
KAISER HMO COLORADO
• Single $1,757.00
• 2 Party $3,511.00
• Family $5,075.00
KAISER HMO HAWAII
• Single $1,084.50
• 2 Party $2,169.00
• Family $3,253.50
2025 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (PRE-65 RETIREE) CONTINUED
PLAN NAME TOTAL PLAN COST/MONTHLY
2025
KAISER HMO NORTHWEST LIMITED
• Single $1,356.61
• 2 Party $2,713.23
• Family $4,069.84
UNITED HEALTHCARE HMO
• Single $3,934.00
• 2 Party $7,862.85
• Family $11,086.21
2025 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (POST-65 RETIREE)
PLAN NAME TOTAL PLAN COST/MONTHLY
2025
BLUE SHIELD ACCESS + HMO WITH RX PDP
• Single $1,125.35
• 2 Party
• Family
$2,253.75
$3,500.12
BLUE SHIELD CMED WITH OR WITHOUT RX PDP
• Single $1,673.42
• 2 Party
• Family
$3,346.87
$4,799.70
BLUE SHIELD PPO SAVINGS WITH RX PDP
• Single $1,088.75
• 2 Party $2,177.53
• Family $2,983.27
BLUE SHIELD FULL PPO WITH RX PDP
• Single $1,458.77
• 2 Party $2,917.51
• Family $4,192.26
BLUE SHIELD MEDICARE ADVANTAGE (HMO)
• Single $374.34
• 2 Party $748.68
BLUE SHIELD MEDICARE ADVANTAGE (PPO)
• Single $558.45
• 2 Party $1,116.90
HUMANA MEDICARE ADVANTAGE (PPO)
• Single $418.65
• 2 Party $837.30
KAISER CALIFORNIA - SENIOR ADVANTAGE (HMO)
• Retiree $201.97
• Retiree, Part B Only $513.97
2025 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (POST-65 RETIREE) CONTINUED
PLAN NAME TOTAL PLAN COST/MONTHLY
2025
KAISER CALIFORNIA – DOUBLE COVERAGE
• Single $143.00
• 2 Party $286.00
KAISER SENIOR ADVANTAGE COLORADO
• Retiree $232.43
• Retiree & Spouse, One Medicare $1,989.43
• Retiree & Spouse, Two Medicare $464.86
• Retiree & Spouse, One Medicare & Child(ren) $3,553.44 • Retiree & Spouse, Two Medicare & Child(ren) $2,028.86
KAISER SENIOR ADVANTAGE HAWAII HMO
• Retiree $353.08
• Retiree & Spouse, One Medicare $1,437.58
• Retiree & Spouse, Two Medicare $706.16
• Retiree & Spouse, One Medicare & Child(ren) $2,522.08 • Retiree & Spouse, Two Medicare & Child(ren) $1,790.66
KAISER SENIOR ADVANTAGE NORTHWEST LIMITED
HMO
• Retiree $343.68
• Retiree & Spouse, One Medicare $1,700.29
• Retiree & Spouse, Two Medicare $687.36
• Retiree & Spouse, One Medicare & Child(ren) $3,056.91 • Retiree & Spouse, Two Medicare & Child(ren) $2,043.97
UNITED HEALTHCARE MEDICARE HMO
• Retiree $488.84
• Retiree & Spouse, One Medicare $4,422.84
• Retiree & Spouse, Two Medicare $977.68
• Retiree & Spouse, One Medicare & Child(ren) $7,646.20 • Retiree & Spouse, Two Medicare & Child(ren) $4,201.04