Health Premium Rates 2011-2012
Blue Shield Access+ (HMO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 2051 | $601.68 | $59.68 | $54.68 | $622.90 | 3.53% | $56.90 | $51.90 |
| Employee + 1 Dependent | 2052 | $1,203.36 | $173.36 | $163.36 | $1,245.80 | 3.53% | $171.80 | $161.80 |
| Employee + 2 or more | 2053 | $1,564.37 | $238.37 | $218.37 | $1,619.54 | 3.53% | $237.54 | $217.54 |
Blue Shield Access+ Advantage (HMO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 1411 | $601.68 | $59.68 | $54.68 | $622.90 | 3.53% | $56.90 | $51.90 |
| Employee + 1 Dependent | 1412 | $1,203.36 | $173.36 | $163.36 | $1,245.80 | 3.53% | $171.80 | $161.80 |
| Employee + 2 or more | 1413 | $1,564.37 | $238.37 | $218.37 | $1,619.54 | 3.53% | $237.54 | $217.54 |
Blue Shield NetValue (HMO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 0421 | $517.72 | $0.00 | $0.00 | $535.73 | 3.48% | $0.00 | $0.00 |
| Employee + 1 Dependent | 0422 | $1,035.44 | $5.44 | 0.00 | $1,071.46 | 3.48% | $0.00 | $0.00 |
| Employee + 2 or more | 0423 | $1,346.07 | $20.07 | $0.07 | $1,392.90 | 3.48% | $10.90 | $0.00 |
Blue Shield NetValue Advantage (HMO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 1461 | $517.72 | $0.00 | $0.00 | $535.73 | 3.48% | $0.00 | $0.00 |
| Employee + 1 Dependent | 1462 | $1,035.44 | $5.44 | $0.00 | $1,071.46 | 3.48% | $0.00 | $0.00 |
| Employee + 2 or more | 1463 | $1,346.07 | $20.07 | $0.07 | $1,392.90 | 3.48% | $10.90 | $0.00 |
Kaiser Permanente (HMO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 561 | $522.58 | $0.00 | $0.00 | $559.11 | 6.99% | $0.00 | $0.00 |
| Employee + 1 Dependent | 562 | $1,045.16 | $15.16 | $5.16 | $1,118.22 | 6.99% | $44.22 | $34.22 |
| Employee + 2 or more | 563 | $1,358.71 | $32.71 | $12.71 | $1,453.69 | 6.99% | $71.69 | $51.69 |
PERS-Care (PPO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 2781 | $849.60 | $307.60 | $302.60 | $977.98 | 15.11% | $411.98 | $406.98 |
| Employee + 1 Dependent | 2782 | $1,699.20 | $669.20 | $659.20 | $1,955.96 | 15.11% | $881.96 | $871.96 |
| Employee + 2 or more | 2783 | $2,208.96 | $882.96 | $862.96 | $2,542.75 | 15.11% | $1,160.75 | $1,140.75 |
PERS Choice (PPO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 2221 | $535.45 | $0.00 | $0.00 | $545.56 | 1.89% | $0.00 | $0.00 |
| Employee + 1 Dependent | 2222 | $1,070.90 | $40.90 | $30.90 | $1,091.12 | 1.89% | $17.12 | $7.12 |
| Employee + 2 or more | 2223 | $1,392.17 | $66.17 | $46.17 | $1,418.46 | 1.89% | $36.46 | $16.46 |
PERS Select (PPO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 0451 | $468.24 | $0.00 | $0.00 | $463.12 | -1.09% | $0.00 | $0.00 |
| Employee + 1 Dependent | 0452 | $936.48 | $0.00 | $0.00 | $926.24 | -1.09% | $0.00 | $0.00 |
| Employee + 2 or more | 0453 | $1,217.42 | $0.00 | $0.00 | $1,204.11 | -1.09% | $0.00 | $0.00 |
PORAC † (PPO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | 2071 | $527.00 | $0.00 | N/A | $556.00 | 5.50% | $0.00 | N/A |
| Employee + 1 Dependent | 2072 | $987.00 | $0.00 | N/A | $1,041.00 | 5.47% | $0.00 | N/A |
| Employee + 2 or more | 2073 | $1,254.00 | $0.00 | N/A | $1,323.00 | 5.50% | $0.00 | N/A |
Kaiser - Out of State (HMO)
| Enrolled Employee & Eligible Dependents | Plan | 2011 Total Mo. Premium |
2011 Employee Mo. Ded. |
2011 Unit 6 Mo. Ded. |
2012 Total Mo. Premium |
2012 Total Mo. Premium Increase |
2012 Employee Mo. Ded. |
2012 Unit 6 Mo. Ded. |
|---|---|---|---|---|---|---|---|---|
| Employee Only | Codes vary by region | $785.28 | $243.28 | $238.28 | $816.47 | 3.97% | $250.47 | $245.47 |
| Employee + 1 Dependent | Codes vary by region | $1,570.56 | $540.56 | $530.56 | $1,632.94 | 3.97% | $558.94 | $548.94 |
| Employee + 2 or more | Codes vary by region | $2,041.73 | $715.73 | $695.73 | $2,122.82 | 3.97% | $740.82 | $720.82 |
CSU Contributions
| Enrolled Employee & Eligible Dependents | 2011 Gov't Code Section 22871 |
2011 Unit 6 |
2012 Gov't Code |
2012 Unit 6 |
|---|---|---|---|---|
| Employee Only | $542 | $547 | $566 | $571 |
| Employee +1 Dependent | $1,030 | $1,040 | $1,074 | $1,084 |
| Employee +2 or more | $1,326 | $1,346 | $1,382 | $1,402 |
†This plan is restricted to employees in Unit 8, State University Police Association (SUPA) and requires membership.
