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At the Executive Committee and Joint Powers Board meeting held
April 10, 2008, the following rates were adopted. The rates will become effective July 1,
2008.
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Monthly
Rates Effective: July 1, 2008 |
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MEDICAL
PLAN RATES |
PREMIER
PLUS |
PREMIER |
STANDARD |
BASIC |
HDHP
1 |
HDHP
2 |
HDHP
3 |
KAISER
HI |
KAISER
LOW |
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COMPOSITE: |
$1,115 |
$962 |
$885 |
$726 |
$713 |
$636 |
$618 |
$1,086 |
$1,020 |
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TIERED: |
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Employee
Only |
$557 |
$481 |
$442 |
$363 |
$356 |
$318 |
$309 |
$505 |
$474 |
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Employee
+ One |
$1,059 |
$914 |
$841 |
$690 |
$677 |
$604 |
$587 |
$1,010 |
$948 |
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Employee
+ Family |
$1,394 |
$1,203 |
$1,106 |
$908 |
$891 |
$795 |
$773 |
$1,430 |
$1,341 |
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MEDICARE RATES: |
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Retiree
On Medicare |
$368 |
$317 |
$292 |
$240 |
$237 |
$212 |
$206 |
$390 |
$279 |
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Ret+One
(One Medicare) |
$925 |
$798 |
$734 |
$603 |
$593 |
$530 |
$515 |
$895 |
$753 |
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Ret+One
(Both Medicare) |
$736 |
$634 |
$584 |
$480 |
$474 |
$424 |
$412 |
$780 |
$558 |
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DENTAL
PLAN RATES |
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D-1
$1,250 |
D-2
$1,250 |
D-3
$1,250 |
D-4
$1,250 |
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Premier: |
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No
Ortho |
Child
Only Ortho |
Adult/Child
Ortho |
Child
Orth/70% Pros |
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Composite |
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$83 |
$86 |
$87 |
$92 |
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Employee
Only |
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$42 |
$42 |
$44 |
$49 |
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Employee
+ One |
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$78 |
$81 |
$82 |
$87 |
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Employee
+ Family |
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$113 |
$116 |
$118 |
$124 |
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A
$1,750 |
B
$2,250 |
A
$1,750 |
B
$2,250 |
Child
Ortho |
Adult/Ch
Orth |
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Premier
Add-on Costs: |
D1,
D2, D3 |
D1,
D2, D3 |
D4 |
D4 |
to
$1,000 |
to
$1,000 |
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Composite |
$10.00 |
$15.50 |
$11.00 |
$17.00 |
$2 |
$3 |
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Employee
Only |
$5.00 |
$8.00 |
$6.00 |
$9.00 |
$2 |
$3 |
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Employee
+ One |
$9.50 |
$14.50 |
$10.50 |
$16.00 |
$2 |
$3 |
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Employee
+ Family |
$13.50 |
$21.00 |
$15.00 |
$23.00 |
$2 |
$3 |
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D-1
DPO |
D-2
DPO |
D-3
DPO |
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Delta
Preferred Option (DPO): |
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No
Ortho |
Child
Only Ortho |
Adult/Child
Ortho |
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Composite |
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$63 |
$65 |
$66 |
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Employee
Only |
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$32 |
$32 |
$33 |
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Employee
+ One |
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$59 |
$61 |
$62 |
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Employee
+ Family |
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$85 |
$87 |
$89 |
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A
$1,500 |
B
$2,000 |
Child
Ortho |
Adult/Ch
Orth |
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DPO
Add-on Costs: |
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Annual
Max |
Annual
Max |
to
$1,000 |
to
$1,000 |
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Composite |
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$8 |
$12 |
$2 |
$3 |
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Employee
Only |
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$4 |
$6 |
$2 |
$3 |
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Employee
+ One |
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$7 |
$11 |
$2 |
$3 |
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Employee
+ Family |
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$10 |
$16 |
$2 |
$3 |
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VISION
PLAN RATES |
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Copay |
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PLAN
A |
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$0 |
$5 |
$10 |
$15 |
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Composite |
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$18 |
$17 |
$16 |
$15 |
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Employee
Only |
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$11 |
$10 |
$9 |
$8 |
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Employee
+ One Dependent |
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$16 |
$15 |
$14 |
$13 |
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Employee
+ Family |
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$29 |
$28 |
$27 |
$26 |
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Copay |
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PLAN
B |
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$0 |
$5 |
$10 |
$15 |
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Composite |
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$21 |
$20 |
$19 |
$18 |
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Employee
Only |
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$13 |
$12 |
$11 |
$10 |
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Employee
+ One Dependent |
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$19 |
$18 |
$17 |
$16 |
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Employee
+ Family |
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$33 |
$32 |
$31 |
$30 |
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Copay |
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PLAN
C |
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$0 |
$5 |
$10 |
$15 |
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Composite |
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$27 |
$26 |
$25 |
$24 |
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Employee
Only |
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$17 |
$16 |
$15 |
$14 |
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Employee
+ One Dependent |
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$24 |
$23 |
$22 |
$21 |
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Employee
+ Family |
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$43 |
$42 |
$41 |
$40 |
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