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California State University, Long BeachCalifornia State University, Long Beach

Health Premium Rates 2017

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Anthem Blue Cross trademarked logo Blue Cross Select HMO California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 181 $740.23 $33.23 $28.23
Employee + 1 181 $1,480.46 $131.46 $121.46
Employee + 2 or more 181 $1,924.60 $197.60 $177.60

Anthem Blue Cross trademarked logo Traditional HMO California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 180 $872.91 $165.91 $160.91
Employee + 1 180 $1,745.82 $396.82 $386.82
Employee + 2 or more 180 $2,269.57 $542.57 $522.57

Anthem Blue Cross trademarked logo Blue Cross EPO California (restricted to Monterey & Del Norte Counties)

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 127 $740.88 $33.88 $28.88
Employee + 1 127 $1,481.76 $132.76 $122.76
Employee + 2 or more 127 $1,926.29 $199.29 $179.29

Blue Shield trademarked logoBlue Shield Access+ California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 141 $830.44 $123.44 $118.44
Employee + 1 141 $1,660.88 $311.88 $301.88
Employee + 2 or more 141 $2,159.14 $432.14 $412.14

Blue Shield trademarked logo Blue Shield Access+ EPO (restricted to Colusa, Mendocino & Sierra Counties)

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 191 $830.44 $123.44 $118.44
Employee + 1 191 $1,660.88 $311.88 $301.88
Employee + 2 or more 191 $2,159.14 $432.14 $412.14

Health Net Salud Y Mas California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 184 $475.46 $0.00 $0.00
Employee + 1 184 $950.92 $0.00 $0.00
Employee + 2 or more 184 $1,236.20 $0.00 $0.00

Health Net Smartcare California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 184 $692.89 $0.00 $0.00
Employee + 1 184 $1,385.78 $36.78 $26.78
Employee + 2 or more 184 $1,801.51 $74.51 $54.51

Kaiser Permanente trademarked logo Kaiser Permanente California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 056 $662.92 $0.00 $0.00
Employee + 1 056 $1,325.84 $0.00 $0.00
Employee + 2 or more 056 $1,723.59 $0.00 $0.00

Kaiser Permanente trademarked logo Kaiser Permanente - Out of State

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only Varies $940.67 $233.67 $228.67
Employee + 1 Varies $1,881.34 $532.34 $522.34
Employee + 2 or more Varies $2,445.74 $718.74 $698.74

PERSCare

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 278 $826.37 $119.37 $114.37
Employee + 1 278 $1,652.74 $303.74 $293.74
Employee + 2 or more 278 $2,148.56 $421.56 $401.56

PERS Choice

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 222 $740.88 $33.88 $28.88
Employee + 1 222 $1,481.76 $132.76 $122.76
Employee + 2 or more 222 $1,926.29 $199.29 $179.29

PERS Select California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 045 $673.25 $0.00 $0.00
Employee + 1 045 $1,346.50 $0.00 $0.00
Employee + 2 or more 045 $1,750.45 $23.45 $3.45

PORAC (PPO)

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 207 $699.00 $0.00 N/A
Employee + 1 207 $1,467.00 $118.00 N/A
Employee + 2 or more 207 $1,876.00 $149.00 N/A

Sharp Performance Plus California (restricted to San Diego County)

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 189 $616.49 $0.00 $0.00
Employee + 1 189 $1,232.98 $0.00 $0.00
Employee + 2 or more 189 $1,602.87 $0.00 $0.00

United Healthcare Alliance HMO California

Enrolled Employee & Eligible Dependents Plan 2017
Total Mo. Premium
2017
Employee Mo. Ded.
2017
Unit 6 Mo. Ded.
Employee Only 187 $686.17 $0.00 $0.00
Employee + 1 187 $1,372.34 $23.34 $13.34
Employee + 2 or more 187 $1,784.04 $57.04 $37.04

CSU CSU Contributions

Enrolled Employee & Eligible Dependents 2017
All Employees (except Unit 6)
2017
Unit 6 Only
Employee Only $707.00 $712.00
Employee +1 $1,349.00 $1,359.00
Employee +2 or more $1,727.00 $1,747.00

This plan is restricted to employees in Unit 8, State University Police Association (SUPA) and requires membership.

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