ATTACHMENT A
CITY OF ANAHEIM
2027 HEALTH & WELFARE PLAN CARRIERS AND RATES
PLAN NAME MONTHLY RATE
LONG TERM DISABILITY INSURANCE (The Standard)
APA (per $100 of covered wages) $0.29
All other full-time employees (per $100 of covered wages) $0.251 SHORT TERM DISABILITY - CHECK CUTTING SERVICES (The Standard) Per employee per month $1.72
BASIC TERM LIFE INSURANCE (The Standard)
Full-time employees (per $1,000 volume) $0.035
Dependents (per enrolled employee) $0.769
Retiree Paid-Up Life Insurance Coverage (per $1,000) $2.25 GROUP AD&D (The Standard)
Basic AD&D, full-time employees (per $1,000 volume) $0.010 Supplemental AD&D, full-time Management Only (per $1,000 volume) $0.025 SUPPLEMENTAL TERM LIFE INSURANCE (The Standard)
Full-time employees (per $1,000)
Age Banded
(Per $1,000 volume)
2027
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
Leave Administration (The Standard)
Absence Management Services: Per Employee Per Month
ADA: Per Employee Per Month
$2.55
$0.85
2027 Health and Welfare Plan Rates – Attachment A
PLAN NAME TOTAL PLAN COST/MONTHLY
DENTAL ADMINISTRATIVE SERVICES (Delta Dental PPO)
Per participating employee per month $6.42
DELTA DENTAL HMO (ACTIVE AND RETIREE)
Single $17.90
2 Party $29.61
Family $43.76
DELTA DENTAL PPO (ACTIVE AND RETIREE)
Single $58.65
2 Party $99.71
Family $152.47
FLEXIBLE SPENDING ACCOUNT (FSA) ADMINISTRATIVE FEE (IGOE) Per participating employee per month $3.50
HEALTH SAVINGS ACCOUNT (HSA) ADMINISTRATIVE FEE (IGOE)
Per participating employee per month $1.30
COBRA SERVICES ADMINISTRATIVE FEE (IGOE)
Per benefit-enrolled employee per month $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* $2.29
* Vitality’s fees are paid by medical plan carrier funds and the City does not incur a cost to offer the program. 2027 Health and Welfare Plan Rates – Attachment A
VOLUNTARY BENEFITS – HOSPITAL INDEMNITY (AFLAC)
Employee
Employee and Spouse
Employee and Child(ren)
Family
$20.24
$38.68
$31.26
$49.70
VOLUNTARY BENEFITS – ACCIDENT (AFLAC)
Employee
Employee and Spouse
Employee and Child(ren)
Family
$6.67
$11.85
$14.92
$20.10
VOLUNTARY BENEFITS – CRITICAL ILLNESS (AFLAC)
Employee – Non-Tobacco Monthly Premiums
Age $10,000 $15,000 $20,000 $25,000 $30,000
18-25 $3.88 $5.82 $7.76 $9.69 $11.63
26-30 $5.05 $7.58 $10.10 $12.63 $15.15
31-35 $6.18 $9.27 $12.35 $15.44 $18.53
36-40 $7.71 $11.57 $15.42 $19.28 $23.14
41-45 $9.90 $14.85 $19.79 $24.74 $29.69
46-50 $12.86 $19.28 $25.71 $32.14 $38.57
51-55 $19.65 $29.47 $39.30 $49.12 $58.95
56-60 $23.18 $34.77 $46.36 $57.96 $69.55
61-65 $37.75 $56.62 $75.50 $94.37 $113.25
66+ $60.77 $91.16 $121.55 $151.94 $182.31
Spouse – Non-Tobacco Monthly Premiums
Age $5,000 $7,500 $10,000 $12,500 $15,000
18-25 $1.94 $2.91 $3.88 $4.85 $5.82
26-30 $2.53 $3.79 $5.05 $6.31 $7.58
31-35 $3.09 $4.63 $6.18 $7.72 $9.27
36-40 $3.86 $5.78 $7.71 $9.64 $11.57
41-45 $4.95 $7.42 $9.90 $12.37 $14.85
46-50 $6.43 $9.64 $12.86 $16.07 $19.28
51-55 $9.82 $14.74 $19.65 $24.56 $29.47
56-60 $11.59 $17.39 $23.18 $28.98 $34.77
61-65 $18.87 $28.31 $37.75 $47.19 $56.62
66+ $30.39 $45.58 $60.77 $75.97 $91.16
2027 Health and Welfare Plan Rates – Attachment A
VOLUNTARY BENEFITS – CRITICAL ILLNESS (AFLAC) CONTINUED Employee – Tobacco Monthly Premiums
Age $10,000 $15,000 $20,000 $25,000 $30,000
18-25 $4.77 $7.15 $9.54 $11.92 $14.31
26-30 $6.46 $9.68 $12.91 $16.14 $19.37
31-35 $8.64 $12.95 $17.27 $21.59 $25.91
36-40 $11.46 $17.19 $22.92 $28.65 $34.38
41-45 $14.86 $22.29 $29.72 $37.15 $44.58
46-50 $19.40 $29.11 $38.81 $48.51 $58.21
51-55 $30.33 $45.49 $60.66 $75.82 $90.99
56-60 $37.49 $56.23 $74.98 $93.72 $112.46
61-65 $59.81 $89.71 $119.62 $149.52 $179.43
66+ $92.55 $138.82 $185.10 $231.37 $277.64
Spouse –Tobacco Monthly Premiums
Age $5,000 $7,500 $10,000 $12,500 $15,000
18-25 $2.38 $3.58 $4.77 $5.96 $7.15
26-30 $3.23 $4.84 $6.46 $8.07 $9.68
31-35 $4.32 $6.48 $8.64 $10.79 $12.95
36-40 $5.73 $8.60 $11.46 $14.33 $17.19
41-45 $7.43 $11.14 $14.86 $18.57 $22.29
46-50 $9.70 $14.55 $19.40 $24.26 $29.11
51-55 $15.16 $22.75 $30.33 $37.91 $45.49
56-60 $19.74 $28.12 $37.49 $46.86 $56.23
61-65 $29.90 $44.86 $59.81 $74.76 $89.71
66+ $46.27 $69.41 $92.55 $115.69 $138.82
2027 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (ACTIVE)*
PLAN NAME TOTAL PLAN COST/MONTHLY
BLUE SHIELD TRIO HMO
Single $947.00
2 Party $1,894.00
Family $2,684.38
BLUE SHIELD ACCESS + HMO
Single $1,201.31
2 Party $2,402.63
Family $3,405.24
BLUE SHIELD PPO SAVINGS WITH HSA OPTION
Single $1,682.45
2 Party $3,364.91
Family $4,761.33
BLUE SHIELD FULL PPO
Single $2,005.05
2 Party $4,010.11
Family $5,674.37
KAISER CALIFORNIA (HMO)
Single $826.48
2 Party $1,652.96
Family $2,338.93
KAISER CALIFORNIA – HMO Part-Time Plan 1
Single $719.61
2 Party $1,439.22
Family $2,036.50
* The rates are inclusive of vision plan premiums.
2027 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (PRE-65 RETIREE)*
PLAN NAME TOTAL PLAN COST/MONTHLY
BLUE SHIELD TRIO HMO
Single $1,149.09
2 Party $2,298.19
Family $3,257.20
BLUE SHIELD ACCESS + HMO
Single $1,458.26
2 Party $2,916.52
Family $4,133.56
BLUE SHIELD PPO SAVINGS
Single $1,883.68
2 Party $3,767.37
Family $5,330.83
BLUE SHIELD FULL PPO
Single $2,590.71
2 Party $5,181.43
Family $7,331.70
KAISER CALIFORNIA (HMO)
Single $991.23
2 Party $1,982.46
Family $2,805.18
KAISER HMO COLORADO
Single $2,012.00
2 Party $4,023.00
Family $5,815.00
KAISER HMO NORTHWEST LIMITED
Single $1,522.85
2 Party $3,045.70
Family $4,568.55
* The rates are inclusive of vision plan premiums.
2027 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (POST-65 RETIREE)*
PLAN NAME TOTAL PLAN COST/MONTHLY
BLUE SHIELD ACCESS + HMO WITH RX PDP
Single $1,315.01
2 Party $2,630.04
Family $4,090.05
BLUE SHIELD CMED WITH OR WITHOUT RX PDP
Single $1,951.09
2 Party $3,902.19
Family $5,596.09
BLUE SHIELD PPO SAVINGS WITH RX PDP
Single $1,269.35
2 Party $2,538.71
Family $3,478.10
BLUE SHIELD FULL PPO WITH RX PDP
Single $1,700.80
2 Party $3,401.61
Family $4,887.80
BLUE SHIELD MEDICARE ADVANTAGE (HMO)
Single $391.93
2 Party $783.86
BLUE SHIELD MEDICARE ADVANTAGE (PPO)
Single $646.28
2 Party $1,292.56
HUMANA MEDICARE ADVANTAGE (PPO)
Single $470.13
2 Party $940.26
KAISER CALIFORNIA - SENIOR ADVANTAGE (HMO)
Retiree $213.57
Retiree, Part B Only $525.57
* The rates are inclusive of vision plan premiums.
2027 Health and Welfare Plan Rates – Attachment A
MEDICAL PLANS (POST-65 RETIREE) CONTINUED
PLAN NAME TOTAL PLAN COST/MONTHLY
KAISER SENIOR ADVANTAGE COLORADO
Retiree $248.84
Retiree & Spouse, One Medicare
Retiree & Spouse, Two Medicare
Retiree & Spouse One Medicare & Child(ren)
Retiree & Spouse, Two Medicare & Child(ren)
$2,260.84
$497.68
$4,052.85
$2,289.68
KAISER SENIOR ADVANTAGE NORTHWEST LIMITED HMO
Retiree $361.41
Retiree & Spouse, One Medicare
Retiree & Spouse, Two Medicare
Retiree & Spouse One Medicare & Child(ren)
Retiree & Spouse, Two Medicare & Child(ren)
$1,884.26
$722.82
$3,407.12
$2,245.67
UNITED HEALTHCARE MEDICARE HMO
Retiree $707.87
Retiree & Spouse, One Medicare
Retiree & Spouse, Two Medicare
Retiree & Spouse, One Medicare & Child(ren)
Retiree & Spouse, Two Medicare & Child(ren)
$5,261.93
$1,415.74
$8,993.34
$5,147.15
* The rates are inclusive of vision plan premiums.