Vernon City Council
October 20, 2026

City of Vernon
Renewal Summary
Effective Date: 1/1/2027
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Employee $936.64 $980.66 4.70% $999.39 6.7%
Employee + Spouse $1,765.55 $1,848.53 4.70% $1,883.84 6.7% Employee + Child(ren) $1,601.32 $1,676.58 4.70% $1,708.61 6.7% Family $2,489.02 $2,606.00 4.70% $2,655.78 6.7%
Employee $708.32 $741.61 4.70% $755.78 6.7%
Employee + Spouse $1,558.28 $1,631.52 4.70% $1,662.68 6.7% Employee + Child(ren) $1,274.96 $1,334.88 4.70% $1,360.38 6.7% Family $2,195.76 $2,298.96 4.70% $2,342.88 6.7%
Employee $1,035.97 $1,314.65 26.90% $1,105.38 6.7%
Employee + Spouse $2,279.16 $2,892.25 26.90% $2,431.86 6.7% Employee + Child(ren) $1,864.76 $2,366.38 26.90% $1,989.70 6.7% Family $3,211.54 $4,075.44 26.90% $3,426.71 6.7%
Employee $725.11 $920.16 26.90% $773.69 6.7%
Employee + Spouse $1,599.84 $2,030.20 26.90% $1,707.03 6.7% Employee + Child(ren) $1,308.22 $1,660.13 26.90% $1,395.87 6.7% Family $2,255.87 $2,862.70 26.90% $2,407.01 6.7%
New Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Anthem Medicare Rate Includes Medical & Pharmacy Retiree Monthly $385.00 -100.0% $417.06 8.3% Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2026 -
12/31/26
% Change over
Current
Final Renewal % Change over
Current
Ameritas-NEW
Employee $16.68 $16.68 0.00% $16.26 -2.52%
Employee + Spouse $31.69 $31.69 0.00% $28.62 -9.69%
Employee + Child(ren) $33.35 $33.35 0.00% $29.92 -10.28% Family $47.53 $47.53 0.00% $40.33 -15.15%
Employee $70.28 $73.09 4.0% $74.41 5.88%
Employee + Spouse $138.51 $144.05 4.0% $146.64 5.87%
Employee + Child(ren) $169.64 $176.43 4.0% $179.60 5.87% Family $258.79 $269.09 4.0% $273.97 5.87%
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2027
Renewal
01/01/2026 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Ameritas EyeMed
Employee $8.72 $8.72 0.00% $8.72 0.00%
Two-Party $16.16 $16.16 0.00% $16.16 0.00%
Family $23.64 $23.64 0.00% $23.64 0.00%
Ameritas VSP
Employee $10.56 $10.56 0.00% $10.56 0.00%
Two-Party $19.08 $19.08 0.00% $19.08 0.00%
Family $27.56 $27.56 0.00% $27.56 0.00%
Vision 1043019 1001 All Eligible EE Monthly
Trio HMO 15/100
(Low HMO)
W0065496
HMOX0001-1000 (Active)
HMOX0001-1001 (Early Retiree)
HMOX0001-1002 (COBRA)
All Eligible EE, Early Retiree,
COBRA
Monthly
MetLife Dental
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
2-Year Rate Guarantee till 1/1/2028
Monthly
DPPO Monthly
1001
Monthly
All Eligible EE
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
PPOX0001-1000 (Active)
PPOX0001-1001 (Early Retiree)
PPOX0001-1002 (COBRA)
All Eligible EE, Early Retiree,
COBRA
Vision 1043019 All Eligible EE
Liberty DHMO All Eligible EE
Blue Shield Medical
MetLife Dental
City of Vernon
Renewal Summary
Effective Date: 1/1/2027
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2027
Renewal
01/01/2026 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Lincoln Finanical
Per $1,000 - Life $0.045 $0.045 0.00% $0.040 -11.11%
Per $1,000 - AD&D $0.020 $0.020 0.00% $0.018 -10.00%
Dependent Life -$1,500 $0.250 $0.250 0.00% $0.250 0.00% Child Vol Per $1,000
($2,000-$10,000) $0.100 $0.100 0.00% $0.100 0.00%
Vol. Life AD&D Per
$1,000 $0.040 $0.040 0.00% $0.025 -37.50%
Lincoln Finanical EAP
EAP Connect Plus (Employee
Assistance Program) All Eligible Employees Anthem EAP $1.28 $1.28 0.00% $1.28 0.00% Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Minimum Monthly Fee $100.00 $100.00 0.00% $100.00 0.00% PAPM - Bundled
(Health/DC) $4.90 $4.90 0.00% $4.90 0.00%
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Monthly $1.75 $1.75 0.00% $1.75 0.00%
E-Statement Account
Summary Fee
$0.00 $0.00 0.00% $0.00 0.00%
Printed HSA Account
Summary Fee
$1.50 $1.50 0.00% $1.50 0.00%
HSA Closure Fee $25.00 $25.00 0.00% $25.00 0.00%
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
Current Group Number Plan ID/Sub-Group Number Employee Classifications Premium Mode Rate Description Current
01/01/2026-
12/31/2026
Renewal
01/01/2027 -
12/31/27
% Change over
Current
Final Renewal % Change over
Current
All Eligible EE Varies Rates Vary
Voluntary Products All Eligible EE Varies Rates Vary
HSA Account
Voluntary Products
Health and Dependent Care
Spending Accounts All Eligible Employees
Life & AD&D 1030433
Voluntary Life & AD&D 1030433
Voluntary LTD - $15,000 1030433 Monthly
Igoe Flexible Spending Accounts
Monthly
All Eligible EE
HSA Bank
Colonial Life
AFLAC
Age Banded
Age Banded
Fees are
Employee Paid HDHP Subscribers
2-Year Rate Guarantee
All Full- Time and
Regular Part- Time
Employees (Min. 30 hours) -
Benefit Amount $50,000
Monthly
All Eligible EE