City of Vernon
Renewal Summary
Effective Date: 1/1/2026
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current Renewal % Change over Current
Blue Shield Medical
Employee $902.87 $936.64 3.7%
Employee + Spouse $1,701.90 $1,765.55 3.7%
Employee + Child(ren) $1,543.59 $1,601.32 3.7%
Family $2,399.29 $2,489.02 3.7%
Employee $682.78 $708.32 3.7%
Employee + Spouse $1,502.10 $1,558.28 3.7%
Employee + Child(ren) $1,229.00 $1,274.96 3.7%
Family $2,116.60 $2,195.76 3.7%
Employee $998.62 $1,035.97 3.7%
Employee + Spouse $2,196.99 $2,279.16 3.7%
Employee + Child(ren) $1,797.53 $1,864.76 3.7%
Family $3,095.76 $3,211.54 3.7%
Employee $698.97 $725.11 3.7%
Employee + Spouse $1,542.16 $1,599.84 3.7%
Employee + Child(ren) $1,261.06 $1,308.22 3.7%
Family $2,174.54 $2,255.87 3.7%
Alignment Health Medicare
Medicare Advantage PPO Rate Includes Medical & Pharmacy Retiree Monthly Retiree $435.03/HMO;$ 524.96/PPO $385.00 -35.00%
MetLife Dental
Employee $16.68 $16.68 Rate Pass
Employee + Spouse $31.69 $31.69 Rate Pass
Employee + Child(ren) $33.35 $33.35 Rate Pass
Family $47.53 $47.53 Rate Pass
Employee $64.48 $70.28 9.00%
Employee + Spouse $127.07 $138.51 9.00%
Employee + Child(ren) $155.63 $169.64 9.00%
Family $237.42 $258.79 9.00%
Ameritas EyeMed
Employee $11.59 $8.72 -24.76%
Two-Party $20.87 $16.16 -22.57%
Monthly
All Eligible EE
Vision 1043019 All Eligible EE
DHMO 05956024 All Eligible EE
All Eligible EE, Early
Retiree, COBRA
Monthly
Monthly
HDHP/HSA PPO
2800/3200/5200
(Low Plan)
W0065496
PPOX0002 (IND); PPOX0003 (FAM)
1000 (Active)
1001 (Early Retiree)
1002 (COBRA)
All Eligible EE, Early
Retiree, COBRA
Monthly
Traditional PPO 250/750
(High Plan)
W0065496
PPOX0001-1000 (Active)
PPOX0001-1001 (Early Retiree)
PPOX0001-1002 (COBRA)
All Eligible EE, Early
Retiree, COBRA
HMOX0002-1000 (Active)
HMOX0002-1001 (Early Retiree)
HMOX0002-1002 (COBRA)
W0065496
Access+ Full Network HMO
15/100
(High HMO)
All Eligible EE, Early
Retiree, COBRA
Monthly
Renews 01/01/2028
Policy# 000010287116
Policy# 000010287117
Monthly
DPPO 05956024 Monthly
1001
Renews 01/01/2027
Renews 01/01/2027
Renews 01/01/2027
Renews 01/01/2027
Trio HMO 15/100
(Low HMO)
W0065496
HMOX0001-1000 (Active)
HMOX0001-1001 (Early Retiree)
HMOX0001-1002 (COBRA)
City of Vernon
Renewal Summary
Effective Date: 1/1/2026
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current Renewal % Change over Current
Family $29.90 $23.64 -20.94%
Ameritas VSP
Employee $10.56
Two-Party $19.08
Family $27.56
Lincoln Financial
Per $1,000 - Life $0.045 $0.045 0.00%
Per $1,000 - AD&D $0.020 $0.020 0.00%
Dependent Life -$1,500 $0.250 $0.250 0.00%
Child Vol Per $1,000
($2,000-$10,000) $0.100 $0.100 0.00%
Vol. AD&D Per $1,000 $0.040 $0.040 0.00%
EAP Connect Plus (Employee
Assistance Program) All Eligible Employees PEPM New Plan $1.28 New Plan Minimum Monthly Fee $100.00 $100.00 0.00%
PAPM - Bundled
(Health/DC) $4.90 $4.90 0.00%
HSA Bank
Monthly $1.75 $1.75 0.00%
E-Statement Account
Summary Fee
$0.00 $0.00 0.00%
Printed HSA Account
Summary Fee
$1.50 $1.50 0.00%
HSA Closure Fee $25.00 $25.00 0.00%
Colonial Life
Age Banded
All Eligible EE Monthly
HDHP Subscribers
Renews 01/01/2027
Health and Dependent Care
Spending Accounts All Eligible Employees
Vision 1043019 All Eligible EE
Voluntary Life & AD&D 1030433
Igoe Flexible Spending Accounts
Age Banded
Voluntary Products All Eligible EE Varies Rates Vary
Voluntary LTD - $10,000 1030433 All Eligible EE Monthly HSA Account
Renews 01/01/2028
Lincoln Finanical
Life & AD&D
All Full- Time and
Regular Part- Time
Employees (Min. 30 hours) -
Benefit Amount $50,000
1030433 Monthly
1001 Monthly
Renews 01/01/2028
Vision 1043019 1001 All Eligible EE Monthly New Plan New Plan City of Vernon
Renewal Summary
Effective Date: 1/1/2026
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current Renewal % Change over Current
AFLAC
Rates Vary
Voluntary Products All Eligible EE Varies Rates Vary
Voluntary Products All Eligible EE Varies