Santa Ana City Council
August 4, 2026

Attachment 1, Page 5 of 9
July 2026 Board of Administration Offsite
2027 Region 2 Premiums Per Subscriber Per Month (PSPM)
Public Agency & School Members
Region 2
2026 2027
Single 2-Party Family Single 2-Party Family
HMO
Anthem Blue Cross Select HMO $1,016.32 $2,032.64 $2,642.43 $1,140.20 $2,280.40 $2,964.52 12.19% Anthem Blue Cross Traditional HMO $1,158. 26 $2,316.52 $3,011.48 $1,263.81 $2,527.62 $3,285.91 9.11% Blue Shield Access+ HMO $1,052.89 $2, 105.78 $2,737.51 $1,177.77 $2,355.54 $3,062.20 11.86% Blue Shield EPO $1,052.89 $2,105.78 $2, 737.51 $1,177.77 $2,355.54 $3,062.20 11.86% Blue Shield Trio HMO $936.58 $1,873.16 $2,435.11 $971.24 $1,942.48 $2,525.22 3.70% Health Net Salud y Más $879.57 $1,759.14 $2,286.88 $953.15 $1,906.30 $2,478.19 8.37% Kaiser Permanente $987.69 $1,975.38 $2, 567.99 $1,030.94 $2,061.88 $2,680.44 4.38% Sharp Performance Plus $916.20 $1,832.40 $2,382.12 $975.21 $1,950.42 $2,535.55 6.44% PPO
PERS Gold $956.28 $1,912.56 $2,486.33 $1,010.12 $2,020.24 $2,626.31 5.63% PERS Platinum $1,426.24 $2,852.48 $3, 708.22 $1,538.57 $3,077.14 $4,000.28 7.88% 2026 2027
Single 2-Party Family Single 2-Party Family
Medicare Advantage
Anthem Medicare Preferred PPO $571.70 $1,143.40 $1,715.10 $619.25 $1,238.50 $1,857.75 8.32% Blue Shield Medicare Advantage PPO $539. 43 $1,078.86 $1,618.29 $619.36 $1,238.72 $1,858.08 14.82% Kaiser Permanente Senior Advantage $356.83 $713.66 $1,070.49 $333.93 $667.86 $1,001.79 -6.42% Kaiser Permanente Senior Advantage Summit $426.31 $852.62 $1,278.93 $391.74 $783.48 $1,175.22 -8.11% Sharp Direct Advantage HMO $291.38 $582.76 $874.14 $320.22 $640.44 $960.66 9.90% UnitedHealthcare Group Medicare Advantage PPO $481.29 $962.58 $1,443.87 $534.00 $1,068.00 $1,602.00 10.95% Medicare Supplement
PERS Gold Medicare Supplement $597.57 $1,195.14 $1,792.71 $597.57 $1,195.14 $1,792.71 0.00% PERS Platinum Medicare Supplement $665. 50 $1,331.00 $1,996.50 $665.50 $1,331.00 $1,996.50 0.00% Fresno, Imperial, Inyo, Kern, Kings, Madera, Orange, San Diego, San Luis Obispo, Santa Barbara, Tulare and Ventura Basic Plans (B) Percent Change
Medicare Plans (M) Percent Change
Attachment 1, Page 7 of 9
July 2026 Board of Administration Offsite
2027 Region 3 Premiums Per Subscriber Per Month (PSPM)
Public Agency & School Members
Region 3
2026 2027
Single 2-Party Family Single 2-Party Family
HMO
Anthem Blue Cross Select HMO $962.68 $1,925.36 $2,502.97 $1,059.06 $2,118.12 $2,753.56 10.01% Anthem Blue Cross Traditional HMO $1,128.53 $2,257.06 $2,934.18 $1,239.02 $2,478.04 $3,221.45 9.79% Blue Shield Access+ HMO $917.91 $1,835.82 $2,386.57 $975.19 $1,950.38 $2,535.49 6.24% Blue Shield Trio HMO $852.56 $1,705.12 $2,216.66 $908.01 $1,816.02 $2,360.83 6.50% Health Net Salud y Más $740.11 $1,480.22 $1,924.29 $801.75 $1,603.50 $2,084.55 8.33% Kaiser Permanente $969.05 $1,938.10 $2,519.53 $1,011.28 $2,022.56 $2,629.33 4.36% PPO
PERS Gold $960.03 $1,920.06 $2,496.08 $1,014.50 $2,029.00 $2,637.70 5.67% PERS Platinum $1,431.81 $2,863.62 $3,722.71 $1,549.00 $3,098.00 $4,027.40 8.18% 2026 2027
Single 2-Party Family Single 2-Party Family
Medicare Advantage
Anthem Medicare Preferred PPO $571.70 $1,143.40 $1,715.10 $619.25 $1,238.50 $1,857.75 8.32% Blue Shield Medicare Advantage PPO $539.43 $1,078.86 $1,618.29 $619.36 $1,238.72 $1,858.08 14.82% Kaiser Permanente Senior Advantage $356.83 $713.66 $1,070.49 $333.93 $667.86 $1,001.79 -6.42% Kaiser Permanente Senior Advantage Summit $426.31 $852.62 $1,278.93 $391.74 $783.48 $1,175.22 -8.11% UnitedHealthcare Group Medicare Advantage PPO $481.29 $962.58 $1,443.87 $534.00 $1,068.00 $1,602.00 10.95% Medicare Supplement
PERS Gold Medicare Supplement $597.57 $1,195.14 $1,792.71 $597.57 $1,195.14 $1,792.71 0.00% PERS Platinum Medicare Supplement $665.50 $1,331.00 $1,996.50 $665.50 $1,331.00 $1,996.50 0.00% Medicare Plans (M) Percent Change
Los Angeles, Riverside and San Bernardino
Basic Plans (B) Percent Change
Association Premiums, Attachment 2, Page 1 of 2
July 2026 Board of Administration Offsite
2027 Association Plan Premiums Per Subscriber Per Month (PSPM) Basic Plans
2026 2027 Percent Change 1
Single 2-Party Family Single 2-Party Family
CAHP (Nationwide) $1,041.70 $2,021.31 $2,642.58 $1,166.70 $2,263.87 $2,959.69 12.00% CCPOA North $1,200.25 $2,405.37 $3,247.36 $1,343.68 $2,693.42 $3,636.45 11.95% CCPOA South $989.76 $1,984.32 $2,681.22 $1,107.93 $2,221.84 $3,002.37 11.94% PORAC State $974.00 $1,950.00 $2,534.00 $980.00 $1,975.00 $2,570.00 0.62% PORAC Region 1 $1,063.00 $2,418.00 $3,027.00 $1,095.00 $2,395.00 $3,115.00 3.01% PORAC Region 2 $1,057.00 $2,127.00 $2,708.00 $1,020.00 $2,040.00 $2,650.00 -3.50% PORAC Region 3 $1,057.00 $2,127.00 $2,708.00 $1,020.00 $2,040.00 $2,650.00 -3.50% PORAC Out-of-State $1,206.00 $2,448.00 $2,900.00 $1,300.00 $2,600.00 $3,200.00 7.79% Basic Weighted Average 8.26%
Medicare Plans
2026 2027 Percent Change 1
Single 2-Party Family Single 2-Party Family
CAHP (Nationwide) $787.79 $1,454.66 $1,850.55 $882.33 $1,629.22 $2,072.62 12.00% CCPOA North (Nationwide) $504.35 $1,003.70 $1,503.05 $597.20 $1,189.40 $1,781.60 18.41% CCPOA South (Nationwide) $504.35 $1,003.70 $1,503.05 $597.20 $1,189.40 $1,781.60 18.41% PORAC State $597.00 $1,322.00 $1,791.00 $640.00 $1,410.00 $1,925.00 7.20% PORAC Region 1 $597.00 $1,322.00 $1,791.00 $640.00 $1,410.00 $1,925.00 7.20% PORAC Region 2 $597.00 $1,322.00 $1,791.00 $640.00 $1,410.00 $1,925.00 7.20% PORAC Region 3 $597.00 $1,322.00 $1,791.00 $640.00 $1,410.00 $1,925.00 7.20% PORAC Out-of-State $597.00 $1,322.00 $1,791.00 $640.00 $1,410.00 $1,925.00 7.20% Medicare Weighted Average 11.47%
Total Association Overall Weighted Average 8.59%
1 Percent Change column represents the change based only on single-party premiums from 2026 to 2027.