Finance Committee
August 1, 2023

Statewide Premiums, Attachment 3, Page 1 of 2
July Board of Administration Offsite
Proposed Statewide 2024 Premiums Per Subscriber Per Month (PSPM) One Risk Pool Three-Year Phase In with PPO Benefit Design Changes 2023 2024
Basic Plans Single 2-Party Family Single 2-Party Family Percent Change Anthem Blue Cross Select HMO $903.85 $1,807.70 $2,350.01 $925.57 $1,851.14 $2,406.48 2.40% Anthem Blue Cross Traditional HMO 1,116.65 2,233.30 2,903.29 1,197.94 2,395.88 3,114.64 7.28% Blue Shield Access+ HMO 842.61 1,685.22 2,190.79 892.49 1,784.98 2,320.47 5.92% Blue Shield Trio HMO 760.71 1,521.42 1,977.85 810.24 1,620.48 2,106.62 6.51% Health Net Salud y Más 631.89 1,263.78 1,642.91 656.96 1,313.92 1,708.10 3.97% Kaiser Permanente 852.68 1,705.36 2,216.97 964.15 1,928.30 2,506.79 13.07% Kaiser Permanente Out of State 1,155.43 2,310.86 3,004.12 1,312.45 2,624.90 3,412.37 13.59% Sharp Performance Plus 764.96 1,529.92 1,988.90 833.24 1,666.48 2,166.42 8.93% UnitedHealthcare SignatureValue Alliance 841.72 1,683.44 2,188.47 882.98 1,765.96 2,295.75 4.90% UnitedHealthcare SignatureValue Harmony 722.28 1,444.56 1,877.93 763.70 1,527.40 1,985.62 5.73% Western Health Advantage HMO 760.17 1,520.34 1,976.44 807.23 1,614.46 2,098.80 6.19% Basic HMO Weighted Average 10.50%
Anthem EPO Del Norte $1,083.89 $2,167.78 $2,818.11 $1,215.87 $2,431.74 $3,161.26 12.18% PERS Gold 766.11 1,532.22 1,991.89 859.31 1,718.62 2,234.21 12.17% PERS Platinum 1,083.89 2,167.78 2,818.11 1,215.87 2,431.74 3,161.26 12.18% Basic PPO Weighted Average 12.17%
Total Basic Percent Change 10.95%
2023 2024
Medicare Plans Single 2-Party Family Single 2-Party Family Percent Change Anthem Medicare Preferred PPO $413.59 $827.18 $1,240.77 $405.83 $811.66 $1,217.49 (1.88%) Blue Shield Medicare PPO 361.90 723.80 1,085.70 392.68 785.36 1,178.04 8.51% Kaiser Permanente Senior Advantage 283.25 566.50 849.75 324.79 649.58 974.37 14.67% Kaiser Permanente Senior Advantage Summit 336.29 672.58 1,008.87 386.55 773.10 1,159.65 14.95% Kaiser Permanente Senior Advantage Out of State 274.03 548.06 822.09 318.43 636.86 955.29 16.20% Kaiser Permanente Senior Advantage Summit Out of State N/A N/A N/A 380.21 760.42 1,140.63 N/A Sharp Direct Advantage HMO 249.79 499.58 749.37 256.53 513.06 769.59 2.70% UnitedHealthcare Group Medicare Advantage PPO 299.68 599.36 899.04 341.72 683.44 1,025.16 14.03% UnitedHealthcare Group Medicare Advantage Edge PPO 357.70 715.40 1,073.10 366.01 732.02 1,098.03 2.32% Western Health Advantage MyCare Select HMO 331.11 662.22 993.33 268.62 537.24 805.86 (18.87%) Medicare Advantage Weighted Average 13.17%
PERS Gold $392.71 $785.42 $1,178.13 $406.60 $813.20 $1,219.80 3.54% PERS Platinum 420.02 840.04 1,260.06 448.15 896.30 1,344.45 6.70% Medicare Supplement Weighted Average 6.62%
Total Medicare Percentage Change 9.55%
2024
Combination Plans
Subscriber in M &
1 Dependent in B
Subscriber in M &
2+ Dependents in B
Subscriber in M,
1 Dependent in B &
1 Dependent in M
Subscriber in B &
1 Dependent in M
Subscriber in B &
2+ Dependents in M
Subscriber in B,
1 Dependent in B &
1 Dependent in M
Anthem Blue Cross Select and Medicare Supplement $1,331.40 $1,886.74 $1,367.00 $1,331.40 $1,737.23 $1,886.74 Anthem Blue Cross Traditional and Medicare Supplement 1,603.77 2,322.53 1,530.42 1,603.77 2,009.60 2,322.53 Blue Shield Access+ and Medicare 1,285.17 1,820.66 1,320.85 1,285.17 1,677.85 1,820.66 Blue Shield Trio and Medicare 1,202.92 1,689.06 1,271.50 1,202.92 1,595.60 1,689.06 Kaiser Permanente and Senior Advantage 1,288.94 1,867.43 1,228.07 1,288.94 1,613.73 1,867.43 Kaiser Permanente and Senior Advantage Summit 1,350.70 1,929.19 1,351.59 1,350.70 1,737.25 1,929.19 Kaiser Permanente and Senior Advantage Out of State 1,630.88 2,418.35 1,424.33 1,630.88 1,949.31 2,418.35 Kaiser Permanente and Senior Advantage Summit Out of State 1,692.66 2,480.13 1,547.89 1,692.66 2,072.87 2,480.13 PERS Gold and Medicare Supplement 1,265.91 1,781.50 1,328.79 1,265.91 1,672.51 1,781.50 PERS Platinum and Medicare Supplement 1,664.02 2,393.54 1,625.82 1,664.02 2,112.17 2,393.54 Sharp Direct Advantage 1,089.77 1,589.71 1,013.00 1,089.77 1,346.30 1,589.71 UnitedHealthcare Alliance and Medicare Advantage 1,224.70 1,754.49 1,213.23 1,224.70 1,566.42 1,754.49 UnitedHealthcare Alliance and Medicare Advantage Edge 1,248.99 1,778.78 1,261.81 1,248.99 1,615.00 1,778.78 UnitedHealthcare Harmony and Medicare Advantage 1,105.42 1,563.64 1,141.66 1,105.42 1,447.14 1,563.64 UnitedHealthcare Harmony and Medicare Advantage Edge 1,129.71 1,587.93 1,190.24 1,129.71 1,495.72 1,587.93 Western Health Advantage and Medicare Advantage 1,075.85 1,560.19 1,021.58 1,075.85 1,344.47 1,560.19 Regional Premiums, Attachment 3, Page 2 of 2
July Board of Administration Offsite
One Risk Pool Three-Year Phase In with PPO Benefit Design Changes 2023 2024
Basic Plans Single 2-Party Family Single 2-Party Family Anthem Blue Cross Select HMO $1,128.83 $2,257.66 $2,934.96 $1,138.86 $2,277.72 $2,961.04 0.89% Anthem Blue Cross Traditional HMO 1,210.71 2,421.42 3,147.85 1,339.70 2,679.40 3,483.22 10.65% Anthem EPO Del Norte 1,200.12 2,400.24 3,120.31 1,314.27 2,628.54 3,417.10 9.51% Blue Shield Access+ HMO 1,035.21 2,070.42 2,691.55 1,076.84 2,153.68 2,799.78 4.02% Blue Shield Trio HMO 888.94 1,777.88 2,311.24 946.84 1,893.68 2,461.78 6.51% Kaiser Permanente 913.74 1,827.48 2,375.72 1,021.41 2,042.82 2,655.67 11.78% PERS Gold 825.61 1,651.22 2,146.59 914.82 1,829.64 2,378.53 10.81% PERS Platinum 1,200.12 2,400.24 3,120.31 1,314.27 2,628.54 3,417.10 9.51% UnitedHealthcare SignatureValue Alliance 1,044.07 2,088.14 2,714.58 1,091.13 2,182.26 2,836.94 4.51% UnitedHealthcare SignatureValue Harmony N/A N/A N/A 937.39 1,874.78 2,437.21 N/A Western Health Advantage HMO 760.17 1,520.34 1,976.44 807.23 1,614.46 2,098.80 6.19% Anthem Blue Cross Select HMO $765.37 $1,530.74 $1,989.96 $807.71 $1,615.42 $2,100.05 5.53% Anthem Blue Cross Traditional HMO 935.12 1,870.24 2,431.31 1,034.38 2,068.76 2,689.39 10.61% Blue Shield Access+ HMO 842.61 1,685.22 2,190.79 869.14 1,738.28 2,259.76 3.15% Blue Shield Trio HMO 760.71 1,521.42 1,977.85 810.24 1,620.48 2,106.62 6.51% Health Net Salud y Más 698.91 1,397.82 1,817.17 684.77 1,369.54 1,780.40 (2.02%) Kaiser Permanente 756.21 1,512.42 1,966.15 904.95 1,809.90 2,352.87 19.67% PERS Gold 695.93 1,391.86 1,809.42 799.44 1,598.88 2,078.54 14.87% PERS Platinum 1,014.80 2,029.60 2,638.48 1,151.50 2,303.00 2,993.90 13.47% Sharp Performance Plus 764.96 1,529.92 1,988.90 833.24 1,666.48 2,166.42 8.93% UnitedHealthcare SignatureValue Alliance 793.63 1,587.26 2,063.44 837.88 1,675.76 2,178.49 5.58% UnitedHealthcare SignatureValue Harmony 781.58 1,563.16 2,032.11 792.65 1,585.30 2,060.89 1.42% Anthem Blue Cross Select HMO $737.91 $1,475.82 $1,918.57 $841.13 $1,682.26 $2,186.94 13.99% Anthem Blue Cross Traditional HMO 942.73 1,885.46 2,451.10 1,012.67 2,025.34 2,632.94 7.42% Blue Shield Access+ HMO 738.29 1,476.58 1,919.55 756.65 1,513.30 1,967.29 2.49% Blue Shield Trio HMO 661.49 1,322.98 1,719.87 704.69 1,409.38 1,832.19 6.53% Health Net Salud y Más 606.34 1,212.68 1,576.48 630.13 1,260.26 1,638.34 3.92% Kaiser Permanente 754.64 1,509.28 1,962.06 865.41 1,730.82 2,250.07 14.68% PERS Gold 680.37 1,360.74 1,768.96 785.28 1,570.56 2,041.73 15.42% PERS Platinum 992.59 1,985.18 2,580.73 1,131.47 2,262.94 2,941.82 13.99% UnitedHealthcare SignatureValue Alliance 790.46 1,580.92 2,055.20 826.44 1,652.88 2,148.74 4.55% UnitedHealthcare SignatureValue Harmony 713.55 1,427.10 1,855.23 734.76 1,469.52 1,910.38 2.97% Kaiser Permanente Out of State $1,155.43 $2,310.86 $3,004.12 $1,312.45 $2,624.90 $3,412.37 13.59% PERS Platinum 1,003.90 2,007.80 2,610.14 1,146.86 2,293.72 2,981.84 14.24% Basic Premiums - Region 3
Los Angeles, Riverside and San Bernardino
Basic Premiums - Out of State
Proposed Regional 2024 Premiums Per Subscriber Per Month (PSPM) Percent Change
Basic Premiums - Region 1
Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Glenn, Humboldt, Lake, Lassen, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo and Yuba Basic Premiums - Region 2
Fresno, Imperial, Inyo, Kern, Kings, Madera, Orange, San Diego, San Luis Obispo, Santa Barbara, Tulare and Ventura