The following document includes details regarding plan rates for health related benefits (medical, dental and vision).
CalPERS Medical Plans – HMO
Plan and Coverage Level Region 1 Monthly
Premium
City Monthly
Contribution
Monthly Expense
to Employee
Anthem HMO Traditional
Employee Only $1,210.71 $913.16 $297.55
Employee + 1 Dependent $2,421.42 $1,769.69 $651.73
Employee + Family $3,147.85 $2,300.61 $847.24
Health Net Smart Care
Employee Only $1,174.50 $913.16 $261.34
Employee + 1 Dependent $2,349.00 $1,769.69 $579.31
Employee + Family $3,053.70 $2,300.61 $753.09
Kaiser Permanente
Employee Only $913.74 $913.16 $0.58
Employee + 1 Dependent $1827.48 $1,769.69 $57.79
Employee + Family $2,375.72 $2,300.61 $75.11
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Packet Pg. 192 Attachment: First Amendment to Restated Employment Agreement - Kevin Woodhouse City Manager (5196 : Resolution - First Amendment to
2023 – Benefit Rates
CalPERS Medical Plans – PPO
Plan and Coverage Level Region 1 Monthly
Premium
City Monthly
Contribution
Monthly
Expense to
Employee
PERS Platinum
Employee Only $1,200.12 $913.16 $286.96
Employee + 1 Dependent $2,400.24 $1,769.69 $630.55
Employee + Family $3,120.31 $2,300.61 $819.70
PERS Gold
Employee Only $825.61 $913.16 $0
Employee + 1 Dependent $1,651.22 $1,769.69 $0
Employee + Family $2,146.59 $2,300.61 $0
PORAC – PPO (Open to
PORAC members only)
Employee Only $825.00 $913.16 $0
Employee + 1 Dependent $1,875.00 $1,769.69 $0
Employee + Family $2,300.00 $2,300.61 $0
* Rates and plan options may vary depending on location, visit calpers.com for details.
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Packet Pg. 193 Attachment: First Amendment to Restated Employment Agreement - Kevin Woodhouse City Manager (5196 : Resolution - First Amendment to
2023 – Benefit Rates
Delta Dental Plan
Class/Unit City Contribution Employee Cost
Class 1: Police Officers, WWTP, & City Council $119.00 $0 Class 2: Battalion Chiefs $119.00 $0
Class 2: Firefighters $119.00 $0
Class 3: PPSA, PPMA $119.00 $0
Class 4: Directors, Managers, & Confidential / Unrep $119.00 $0 Class 5: Misc. 856 $119.00 $0
VSP Vision Plan
Vision Coverage Level City Contribution Employee Cost
Unrep, Mgmt 350, Battalion Chiefs, Misc 856, Police, PPMA, PPSA, & WWTP Employee Only $18.29 $0
Employee + 1 Dependent $26.52 $0
Employee + Family $47.56 $0
Firefighters
Employee Only Cafeteria Plan $17.32
Employee + 1 Dependent Cafeteria Plan $25.11
Employee + Family Cafeteria Plan $45.02
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Packet Pg. 194 Attachment: First Amendment to Restated Employment Agreement - Kevin Woodhouse City Manager (5196 : Resolution - First Amendment to
2023 – Benefit Rates
Firefighters Cafeteria Plan
The City will place $1,200.00 per month in a cafeteria plan for health insurance coverage for employees, or employees with dependents. Any unused health insurance portion of the cafeteria plan contribution will be returned to the cafeteria plan for other health related expenses. This plan is pending contract ratification and may change.
Teamsters Plan (Local 856)
Plan and Coverage
Level
Teamsters
Monthly Premium
City Monthly
Contribution -
Medical
City Monthly
Contribution –
Dental & Vision
Monthly
Expense to
Employee
Employee Only $1,374.00 $967.67 $163.00 $243.33
Employee + 1
Dependent $2,136.00 $1875.32 $163.00 $97.68
Employee + Family $2,769.00 $2437.92 $163.00 $168.08
*The City has made every attempt to ensure the accuracy and reliability of the information provided in this document. However, the information is provided "as is" without warranty of any kind. The City does not accept any responsibility or liability for the accuracy, content, completeness, legality, or reliability of the information contained in this document. Questions or concerns regarding this document should be directed to [email protected].
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Packet Pg. 195 Attachment: First Amendment to Restated Employment Agreement - Kevin Woodhouse City Manager (5196 : Resolution - First Amendment to