|
The CalPERS Board has approved
health plan premium increases that average 8.7% for HMO’s for the
2006 plan year. Individual plan increases: Blue Shield 8.62,
Kaiser 8.73%, Western Health Advantage 9.8%, PERSChoice 9.42% and
PERSCare 9.76%. The CAPS MOU requires that beginning in January
2006, the state pay 85% of the weighted average of the four
largest plans for single coverage, and for the state to pay 80% of
the additional premium for two and three-party coverage. The
state’s 2006 contribution toward health plans for 2006: single
$321, two-party $625 and family $807. As a result, some members
saw a reduction in their out-of-pocket costs in January.
Employees must pay the difference between the state contribution
and total premium. Below are the rates for each plan at each
enrollment level. Details on plan changes will come directly from
CalPERS to individual members, or go to
www.calpers.ca.gov. Open
enrollment was held in September and October 2005 for the 2006
enrollment year.
|
STATE CONTRIBUTION |
|
Single |
Two-Party |
Family |
|
2005 |
$284 |
$564 |
$728 |
|
2006 |
321 |
625 |
807 |
|
BLUE SHIELD |
|
Premium |
Single |
Two-Party |
Family |
|
2005 |
$355 |
$710 |
$923 |
|
2006 |
386 |
771 |
1003 |
|
Out-of-Pocket Cost |
|
2005 |
71 |
146 |
195 |
|
2006 |
65 |
146 |
196 |
|
KAISER |
|
Premium |
Single |
Two-Party |
Family |
|
2005 |
$336 |
$671 |
$873 |
|
2006 |
365 |
730 |
949 |
|
Out-of-Pocket Employee Cost |
|
2005 |
52 |
107 |
145 |
|
2006 |
44 |
105 |
142 |
|
WESTERN HEALTH ADVANTAGE |
|
Premium |
Single |
Two-Party |
Family |
|
2005 |
$322 |
$645 |
$838 |
|
2006 |
354 |
708 |
921 |
|
Out-of-Pocket Employee Cost |
|
Premium |
Single |
Two-Party |
Family |
|
2005 |
38 |
81 |
110 |
|
2006 |
33 |
83 |
114 |
|
PERSChoice |
|
Premium |
Single |
Two-Party |
Family |
|
2005 |
$366 |
$732 |
$952 |
|
2006 |
401 |
801 |
1042 |
|
Out-of-Pocket Employee Cost |
|
2005 |
82 |
168 |
224 |
|
2006 |
80 |
176 |
235 |
|
PERSCare |
|
Premium |
Single |
Two-Party |
Family |
|
2005 |
$614 |
$1228 |
$1596 |
|
2006 |
674 |
1347 |
1752 |
|
Out-of-Pocket Employee Cost |
|
2005 |
330 |
664 |
868 |
|
2006 |
353 |
722 |
945 |
Please see
the State Department of Managed Health Care website at
http://www.dmhc.ca.gov
for a variety of related consumer health information. |