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Attachment D_SEIU FT CalPERS Medical Plan Premiums 2026.pdf

Santa Maria City Council
December 2, 2025

Document
Attachment D_SEIU FT CalPERS Medical Plan Premiums 2026.pdf
Meeting
December 2, 2025
Body
Santa Maria City Council
Original file
304 KB
Text extracted from the city's file for reading and search. Open the original on pub-santamaria.escribemeetings.com. That file is the official record.

SEIU FT
PLAN
Region 2
Plan
Code
Employee
Only
Premium
Your Mnthly
Cost
(after MEC &
Contribution)
Your bi-
weekly
cost
Plan
Code
Employee +
1 Dependent
Your Mnthly
Cost
(after MEC &
Contribution)
Your bi-
weekly
cost
Plan
Code
Employee +
2 Dependents
Your Mnthly
Cost
(after MEC &
Contribution)
Your bi-
weekly cost
Anthem Traditional HMO 4071 1,158.26 201.98 100.99$ 4072 2,316.52 403.96 201.98$ 4073 3,011.48 525.15 262.58$ Blue Shield Access 3041 1,052.89 96.61 48.31$ 3042 2,105.78 193.22 96.61$ 3043 2,737.51 251.18 125.59$ PERS Gold 6141 956.28 - -$ 6142 1,912.56 - -$ 6143 2,486.33 - -$ PERS Platinum 6021 1,426.24 469.96 234.98$ 6022 2,852.48 939.92 469.96$ 6023 3,708.22 1,221.89 610.95$ PORAC* 2071 1,057.00 100.72 50.36$ 2072 2,127.00 214.44 107.22$ 2073 2,708.00 221.67 110.84$ The Minimum Employer Contribution (MEC) is only applicable toward City-sponsored health plans. The MEC for 2026 is anticipated to be: $162.00 Employee Only 794.28$
Employee +1 1,750.56$
Employee +2 2,324.33$
405.00$
*Employees hired after February 4, 2017 are not eligible to receive 'Cash-in-lieu' option.

Dental Monthly Premium (Standard Ins Co) Vision Monthly Premium (VSP) Your Cost City Cost Your Cost City Cost
Employee Only -$ 47.84 Employee Only 8.54$ - Employee & Family 36.54$ 84.38 Employee + 1 13.25$ - Employee + 2 21.02$ -
Evidence of health insurance coverage will be required for those employees who elect not to use City sponsored health insurance and receive the 'cash-in-lieu' option. These employees must provide evidence of insurance and sign form HBD-12 declaring that they have other health insurance coverage. The HBD-12 form can be found on the City Intranet.

CalPERS Health Plan Rates 2026
Effective: 01/01/26 - 12/31/26
**Bi-Weekly & Monthly Cost**
Cash-in-lieu Option (No MEC)*
* Association Plan
Please note, the rates listed above are for “Region 2” as defined by CalPERS. Included in this area are both Santa Barbara and San Luis Obispo Counties, however, if you live elsewhere, your rates may vary.

Please visit the CalPERS website for more information.

In addition to the aforementioned MEC amount, the following are the current optional monthly health insurance contributions afforded to employees. These contributions may change based on negotiations or established provisions in the MOU.

OPTIONAL HEALTH INSURANCE CONTRIBUTION
Full-Time Employee
9/11/2025
Attachment D

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