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2013 CoBen and Health Contributions
Bargaining Unit 1
Bargaining Unit 2
Bargaining Unit 3
Bargaining Unit 4
Bargaining Unit 5
Bargaining Unit 6
Bargaining Unit 7
Bargaining Unit 8
Bargaining Unit 9
Bargaining Unit 10
Bargaining Unit 11
Bargaining Unit 12
Bargaining Unit 13
Bargaining Unit 14
Bargaining Unit 15
Bargaining Unit 16
Bargaining Unit 17
Bargaining Unit 18
Bargaining Unit 19
Bargaining Unit 20
Bargaining Unit 21
Excluded Employees
Bargaining Unit 1
Bargaining Unit 1 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 1 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 1 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 2
Bargaining Unit 2 - Not Subject to Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Not subject to Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$1,073
$986
Employee & 2+ Dep.
$1,402
$1,291
Bargaining Unit 2 - Subject to 75% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 75% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$949
$873
Employee & 2+ Dep.
$1,204
$1,110
Bargaining Unit 2 - Subject to 50% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 50% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$825
$759
Employee & 2+ Dep.
$1,006
$929
Bargaining Unit 3
Bargaining Unit 3 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 3 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 3 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 4
Bargaining Unit 4 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 4 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 4 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 5
Amount paid by the State and employee for various health benefit plans
Monthly Premiums by Health Plan
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$150.11
$526.00
$622.90
$142.90
$480.00
+$46.00
+$7.21
Employee & 1 Dep.
$1,352.22
$329.22
$1,023.00
$1,245.80
$312.80
$933.00
+$90.00
+$16.42
Employee & 2+ Dep.
$1,757.89
$438.89
$1,319.00
$1,619.54
$413.54
$1,206.00
+$113.00
+$25.35
Blue Shield NetValue
Employee Only
$577.52
$51.52
$526.00
$535.73
$55.73
$480.00
+$46.00
-$4.21
Employee & 1 Dep.
$1,155.04
$132.04
$1,023.00
$1,071.46
$138.46
$933.00
+$90.00
-$6.42
Employee & 2+ Dep.
$1,501.55
$182.55
$1,319.00
$1,392.90
$186.90
$1,206.00
+113.00
-$4.35
Kaiser
Employee Only
$609.34
$83.34
$526.00
$559.11
$79.11
$480.00
+$46.00
+$4.23
Employee & 1 Dep.
$1,218.68
$195.68
$1,023.00
$1,118.22
$185.22
$933.00
+$90.00
+$10.46
Employee & 2+ Dep.
$1,584.28
$265.28
$1,319.00
$1,453.69
$247.69
$1,206.00
+$113.00
+$17.59
Kaiser Out-of-State
Employee Only
$876.46
$350.46
$526.00
$816.47
$336.47
$480.00
+$46.00
+$13.99
Employee & 1 Dep.
$1,752.92
$729.92
$1,023.00
$1,632.94
$699.94
$933.00
+$90.00
+$29.98
Employee & 2+ Dep.
$2,278.80
$959.80
$1,319.00
$2,122.82
$916.82
$1,206.00
+113.00
+$42.98
PERS Choice
Employee Only
$634.06
$108.06
$526.00
$546.00
$65.56
$480.00
+$46.00
+$42.50
Employee & 1 Dep.
$1,268.12
$245.12
$1,023.00
$1,091.12
$158.12
$933.00
+$90.00
+$87.00
Employee & 2+ Dep.
$1,648.56
$329.56
$1,319.00
$1,418.46
$212.46
$1,206.00
+113.00
+$117.10
PERS Select
Employee Only
$463.12
$0
$526.00
$463.12
$0
$480.00
+$46.00
$0
Employee & 1 Dep.
$926.24
$0
$1,023.00
$926.24
$0
$933.00
+$90.00
$0
Employee & 2+ Dep.
$1,204.11
$0
$1,319.00
$1,204.11
$0
$1,206.00
+$113.00
$0
PERS Care
Employee Only
$1,029.57
$503.57
$526
$977.98
$497.98
$480.00
+$46.00
+$5.59
Employee & 1 Dep.
$2,059.14
$1,036.14
$1,023
$1,955.96
$1,022.96
$933.00
+$90.00
+$13.18
Employee & 2+ Dep.
$2,676.88
$1,357.88
$1,319
$2,542.75
$1,336.75
$1,206.00
+113.00
+$21.13
CAHP
Employee Only
$566.96
$40.96
$526.00
$520.96
$40.96
$480.00
+$46.00
+$0
Employee & 1 Dep.
$1,098.10
$75.10
$1,023.00
$1,008.10
$75.10
$933.00
+$90.00
+$0
Employee & 2+ Dep.
$1,430.22
$111.22
$1,319.00
$1,317.22
$111.22
$1,206.00
+113.00
+$0
Bargaining Unit 6
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
CCPOA - North
Employee Only
$595.92
$100.92
$495.00
$560.28
$108.28
$452.00
+$43.00
-$7.36
Employee & 1 Dep.
$1,193.73
$201.73
$992.00
$1,122.15
$217.15
$905.00
+$87.00
-$15.42
Employee & 2+ Dep.
$1,611.44
$323.44
$1,288.00
$1,514.74
$337.74
$1,177.00
+$111.00
-$14.30
CCPOA - South
Employee Only
$491.51
$0
$495.00
$462.14
$10.14
$452.00
+$43.00
-$10.14
Employee & 1 Dep.
$894.86
$0
$992.00
$925.83
$20.83
$905.00
+$
87.00
-$20.83
Employee & 2+ Dep.
$1,330.58
$43.00
$1,288.00
$1,250.77
$73.77
$1,177.00
+
$
111.00
-$30.77
Bargaining Unit 7
Bargaining Unit 7 - Not Subject to Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Not subject to Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$1,073
$986
Employee & 2+ Dep.
$1,402
$1,291
Bargaining Unit 7 - Subject to 75% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 75% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$949
$873
Employee & 2+ Dep.
$1,204
$1,110
Bargaining Unit 7 - Subject to 50% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 50% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$825
$759
Employee & 2+ Dep.
$1,006
$929
Bargaining Unit 8
CoBen allowances for 2013 and 2012
CoBen Allowances by Year
Coverage
2013
2012
Employee Only
$575
$529
Employee & 1 Dep.
$1,104
$1,014
Employee & 2+ Dep.
$1,433
$1,320
Bargaining Unit 9
Amount paid by the State and employee for various health benefit plans
Monthly Premiums by Health Plan
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$150.11
$526.00
$622.90
$142.90
$480.00
+$46
+$7.21
Employee & 1 Dep.
$1,352.22
$329.22
$1,023.00
$1,245.80
$312.80
$933.00.00
+$90.00.00
+$16.42
Employee & 2+ Dep.
$1,757.89
$438.89
$1,319.00
$1,619.54
$413.54
$1,206
+$113
+$25.35
Blue Shield NetValue
Employee Only
$577.52
$51.52
$526
$535.73
$55.73
$480.00
+$46.00
-$4.21
Employee & 1 Dep.
$1,155.04
$132.04
$1,023
$1,071.46
$138.46
$933.00
+$90.00
-$6.42
Employee & 2+ Dep.
$1,501.55
$182.55
$1,319
$1,392.90
$186.90
$1,206.00
+113.00
-$4.35
Kaiser
Employee Only
$609.34
$83.34
$526.00
$559.11
$79.11
$480.00
+$46.00
+$4.23
Employee & 1 Dep.
$1,218.68
$195.68
$1,023.00
$1,118.22
$185.22
$933.00
+$90.00
+$10.46
Employee & 2+ Dep.
$1,584.28
$265.28
$1,319.00
$1,453.69
$247.69
$1,206.00
+$113.00
+$17.59
Kaiser Out-of-State
Employee Only
$876.46
$350.46
$526.00
$816.47
$336.47
$480.00
+$46.00
+$11.00
Employee & 1 Dep.
$1,752
$729.92
$1,023.00
$1,632.94
$699.94
$933.00
+$90.00
+$29.98
Employee & 2+ Dep.
$2,278
$959.80
$1,319.00
$2,122.82
$916.82
$1,206.00
+113.00
+$42.98
PERS Choice
Employee Only
$634.06
$108.06
$525.56
$545.56
$65.56
$480.00
+$46.00
+$42.50
Employee & 1 Dep.
$1,268.12
$245.12
$1,023.00
$1,091.12
$158.12
$933.00
+$90.00
+$87.00
Employee & 2+ Dep.
$1,648.56
$329.56
$1,319.00
$1,418.46
$212.46
$1,206
+113.00
+$117.00
PERS Select
Employee Only
$463.12
$0
$526.00
$463.12
$0
$480.00
+$46.00
$0
Employee & 1 Dep.
$926.24
$0
$1,023.00
$926.24
$0
$933.00
+$90.00
$0
Employee & 2+ Dep.
$1,204.11
$0
$1,319.00
$1,204.11
$0
$1,206.00
+$48.00
$0
PERS Care
Employee Only
$1,029.57
$503.57
$526.00
$977.98
$497.98
$480.00
+$46.00
+$5.59
Employee & 1 Dep.
$2,059.14
$1,036.14
$1,023.00
$1,955.96
$1,022.96
$933.00
+$90.00
+$13.18
Employee & 2+ Dep.
$2,676.88
$1,357.88
$1,319.00
$2,542.75
$1,336.75
$1,206.00
+113.00
+$21.13
Bargaining Unit 10
Bargaining Unit 10 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992
.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 10 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00.
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 10 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 11
Bargaining Unit 11 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 11 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 11 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 12
Bargaining Unit 12 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 12 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 12 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 13
Bargaining Unit 13 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 13 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 13 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 14
Bargaining Unit 14 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 14 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 14 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 15
Bargaining Unit 15 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,649.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 15 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 15 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 16
Bargaining Unit 16 - Not Subject to Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Not subject to Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$1,073
$986
Employee & 2+ Dep.
$1,402
$1,291
Bargaining Unit 16 - Subject to 75% Dependent Health Care Vesting
<
CoBen allowances for 2013 and 2012
Subject to 75% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$949
$873
Employee & 2+ Dep.
$1,204
$1,110
Bargaining Unit 16 - Subject to 50% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 50% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$825
$759
Employee & 2+ Dep.
$1,006
$929
Bargaining Unit 17
Bargaining Unit 17 - Not Subject to Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Not subject to Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$1,073
$986
Employee & 2+ Dep.
$1,402
$1,291
Bargaining Unit 17 - Subject to 75% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 75% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$949
$873
Employee & 2+ Dep.
$1,204
$1,110
Bargaining Unit 17 - Subject to 50% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 50% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$825
$759
Employee & 2+ Dep.
$1,006
$929
Bargaining Unit 18
Bargaining Unit 18 - Not Subject to Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Not subject to Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$1,073
$986
Employee & 2+ Dep.
$1,402
$1,291
Bargaining Unit 18 - Subject to 75% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 75% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$949
$873
Employee & 2+ Dep.
$1,204
$1,110
Bargaining Unit 18 - Subject to 50% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 50% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$825
$759
Employee & 2+ Dep.
$1,006
$929
Bargaining Unit 19
Bargaining Unit 19 - Not Subject to Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Not subject to Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$1,073
$986
Employee & 2+ Dep.
$1,402
$1,291
Bargaining Unit 19 - Subject to 75% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 75% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$949
$873
Employee & 2+ Dep.
$1,204
$1,110
Bargaining Unit 19 - Subject to 50% Dependent Health Care Vesting
CoBen allowances for 2013 and 2012
Subject to 50% Dependent Health Care Vesting
Coverage
2013
2012
Employee Only
$544
$501
Employee & 1 Dep.
$825
$759
Employee & 2+ Dep.
$1,006
$929
Bargaining Unit 20
Bargaining Unit 20 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 20 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 20 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744.00
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892.00
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Bargaining Unit 21
Bargaining Unit 21 - Not Subject to Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Not subject to Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$360.22
$992.00
$1,245.80
$340.80
$905.00
+$87.00
+$19.42
Employee & 2+ Dep.
$1,757.89
$469.89
$1,288.00
$1,619.54
$442.54
$1,177.00
+$111.00
+$27.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$163.04
$992.00
$1,071.46
$166.46
$905.00
+$87.00
-$3.42
Employee & 2+ Dep.
$1,501.55
$213.55
$1,288.00
$1,392.90
$215.90
$1,177.00
+$111.00
-$2.35
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$226.68
$992.00
$1,118.22
$213.22
$905.00
+$87.00
+$13.46
Employee & 2+ Dep.
$1,584.28
$296.28
$1,288.00
$1,453.69
$276.69
$1,177.00
+$111.00
+$19.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$760.92
$992.00
$1,632.94
$727.94
$905.00
+$87.00
+$32.98
Employee & 2+ Dep.
$2,278.80
$990.80
$1,288.00
$2,122.82
$945.82
$1,177.00
+$111.00
+$44.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$276.12
$992.00
$1,091.12
$186.12
$905.00
+$87.00
+$90.00
Employee & 2+ Dep.
$1,648.56
$360.56
$1,288.00
$1,418.46
$241.46
$1,177.00
+$111.00
+$119.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$0
$992.00
$926.24
$21.24
$905.00
+$87.00
-$21.24
Employee & 2+ Dep.
$1,204.11
$0
$1,288.00
$1,204.11
$27.11
$1,177.00
+$111.00
-$27.11
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,067.14
$992.00
$1,955.96
$1,050.96
$905.00
+$87.00
+$16.18
Employee & 2+ Dep.
$2,676.88
$1,388.88
$1,288.00
$2,542.75
$1,365.75
$1,177.00
+$111.00
+$23.13
Bargaining Unit 21 - Subject to 75% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 75% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$484.22
$868.00
$1,245.80
$453.80
$792.00
+$76.00
+$30.42
Employee & 2+ Dep.
$1,757.89
$667.89
$1,090.00
$1,619.54
$623.54
$996.00
+$94.00
+$44.35
Blue Shield NetValue
Employee Only
$557.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$287.04
$868.00
$1,071.46
$279.46
$792.00
+$76.00
+$7.58
Employee & 2+ Dep.
$1,501.55
$411.55
$1,090.00
$1,392.90
$396.90
$996.00
+$94.00
+$14.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$350.68
$868.00
$1,118.22
$326.22
$792.00
+$76.00
+$24.46
Employee & 2+ Dep.
$1,584.28
$494.28
$1,090.00
$1,453.69
$457.69
$996.00
+$94.00
+$36.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495.00
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$884.92
$868.00
$1,632.94
$840.94
$792.00
+$76.00
+$43.98
Employee & 2+ Dep.
$2,278.80
$1,188.80
$1,090.00
$2,122.82
$1,126.82
$996.00
+$94.00
+$61.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$400.12
$868.00
$1,091.12
$299.12
$792.00
+$76.00
+$101.00
Employee & 2+ Dep.
$1,648.56
$558.56
$1,090.00
$1,418.46
$422.46
$996.00
+$94.00
+$136.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$58.24
$868.00
$926.24
$134.24
$792.00
+$76.00
-$76.00
Employee & 2+ Dep.
$1,204.11
$114.11
$1,090.00
$1,204.11
$208.11
$996.00
+$94.00
-$94.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$978.98
$525.98
$452.00
+$43.00
+$8.59
Employee & 1 Dep.
$2,059.14
$1,191.14
$868.00
$1,955.96
$1,163.96
$792.00
+$76.00
+$27.18
Employee & 2+ Dep.
$2,676.88
$1,586.88
$1,090.00
$2,542.75
$1,546.75
$996.00
+$94.00
+$40.13
Bargaining Unit 21 - Subject to 50% Dependent Health Care Vesting
Amount paid by the State and employee for various health benefit plans
Subject to 50% Dependent Health Care Vesting
Plan
2013 Monthly Premiums
2012 Monthly Premiums
Dollar Change
Total Premium
Employee Share
State Share
Total Premium
Employee Share
State Share
State
Employee
Blue Shield
Employee Only
$676.11
$181.11
$495.00
$622.90
$170.90
$452.00
+$43.00
+$10.21
Employee & 1 Dep.
$1,352.22
$608.22
$744.00
$1,245.80
$567.80
$678.00
+$66.00
+$40.42
Employee & 2+ Dep.
$1,757.89
$865.89
$892.00
$1,619.54
$804.54
$815.00
+$77.00
+$61.35
Blue Shield NetValue
Employee Only
$577.52
$82.52
$495.00
$535.73
$83.73
$452.00
+$43.00
-$1.21
Employee & 1 Dep.
$1,155.04
$411.04
$744.00
$1,071.46
$393.46
$678.00
+$66.00
+$17.58
Employee & 2+ Dep.
$1,501.55
$609.55
$892.00
$1,392.90
$577.90
$815.00
+$77.00
+$31.65
Kaiser
Employee Only
$609.34
$114.34
$495.00
$559.11
$107.11
$452.00
+$43.00
+$7.23
Employee & 1 Dep.
$1,218.68
$474.68
$744.00
$1,118.22
$440.22
$678.00
+$66.00
+$34.46
Employee & 2+ Dep.
$1,584.28
$692.28
$892.00
$1,453.69
$638.69
$815.00
+$77.00
+$53.59
Kaiser Out-of-State
Employee Only
$876.46
$381.46
$495
$816.47
$364.47
$452.00
+$43.00
+$16.99
Employee & 1 Dep.
$1,752.92
$1,008.92
$744
$1,632.94
$954.94
$678.00
+$66.00
+$53.98
Employee & 2+ Dep.
$2,278.80
$1,386.80
$892
$2,122.82
$1,307.82
$815.00
+$77.00
+$78.98
PERS Choice
Employee Only
$634.06
$139.06
$495.00
$545.56
$93.56
$452.00
+$43.00
+$45.50
Employee & 1 Dep.
$1,268.12
$524.12
$744.00
$1,091.12
$413.12
$678.00
+$66.00
+$111.00
Employee & 2+ Dep.
$1,648.56
$756.56
$892.00
$1,418.46
$603.46
$815.00
+$77.00
+$153.10
PERS Select
Employee Only
$463.12
$0
$495.00
$463.12
$11.12
$452.00
+$43.00
-$11.12
Employee & 1 Dep.
$926.24
$182.24
$744.00
$926.24
$248.24
$678.00
+$66.00
-$66.00
Employee & 2+ Dep.
$1,204.11
$312.11
$892.00
$1,204.11
$389.11
$815.00
+$77.00
-$77.00
PERS Care
Employee Only
$1,029.57
$534.57
$495.00
$977.98
$525.98
$452.00
+$43
+$8.59
Employee & 1 Dep.
$2,059.14
$1,315.14
$744.00
$1,955.96
$1,277.96
$678.00
+$66.00
+$37.18
Employee & 2+ Dep.
$2,676.88
$1,784.88
$892.00
$2,542.75
$1,727.75
$815.00
+$77.00
+$57.13
Excluded Employees
CoBen allowances for 2013 and 2012
CoBen Allowances by Year
Coverage
2013
2012
Employee Only
$577
$531
Employee & 1 Dep.
$1,117
$1,027
Employee & 2+ Dep.
$1,448
$1,335
Updated 9/19/2012