2012 Plan Rates for Active Employees (Monthly/Semimonthly)
Rates are deducted semimonthly (twice a month). Deductions are taken 24 times a year. When you receive a third check in a month, it will not have a deduction for your medical plan, unless you have unpaid medical costs that need to be collected. Click here for the 2012 Medical and Dental rates (PDF Version).
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Monthly
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Semimonthly
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|
County Medical Plans
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|
Exclusive Care EPO
Single:
Two-Party:
Family:
|
$389.18
$784.88
$985.00
|
$194.59
$392.44
$492.50
|
|
Health Net HMO
Single:
Two-Party:
Family:
|
$539.86
$1,074.22
$1,394.82
|
$269.93
$537.11
$697.41
|
|
Kaiser HMO
Single:
Two-Party:
Family:
|
$524.50
$1,043.50
$1,354.50
|
$262.25
$521.75
$677.25
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|
Health Net PPO
Single:
Two-Party:
Family:
|
$774.08
$1,542.68
$2,003.82
|
$387.04
$771.34
$1,001.91
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CalPERS Medical Plans - Los Angeles Area Region (Los Angeles, San Bernardino and Ventura Counties)
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Blue Shield Access HMO
Single:
Two-Party:
Family:
|
$510.72
$1,021.44
$1,327.88
|
$255.36
$510.72
$663.94
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|
Blue Shield HPN
Single:
Two-Party:
Family:
|
$439.26
$878.50
$1,142.06
|
$219.63
$439.25
$571.03
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|
Kaiser
Single:
Two-Party:
Family:
|
$465.64
$931.26
$1,210.64
|
$232.82
$465.63
$605.32
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|
PERSCare
Single:
Two-Party:
Family:
|
$906.40
$1,812.78
$2,356.62
|
$453.20
$906.39
$1,178.31
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|
PERS Choice
Single:
Two-Party:
Family:
|
$505.64
$1,011.26
$1,314.64
|
$252.82
$405.63
$657.32
|
|
PERS Select
Single:
Two-Party:
Family:
|
$429.22
$858.44
$1,115.98
|
$214.61
$429.22
$557.99
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|
PORAC
Single:
Two-Party:
Family:
|
$556.00
$1,041.00
$1,323.00
|
$278.00
$520.50
$661.50
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CalPERS Medical Plans - Other Southern California County Regions (Riverside, Orange, San Diego and Imperial Counties)
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Blue Shield Access HMO
Single:
Two-Party:
Family:
|
$583.60
$1,167.20 $1,517.36
|
$291.80
$583.60
$758.68
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|
Blue Shield HPN
Single:
Two-Party:
Family:
|
$501.94
$1,003.86
$1,305.02
|
$250.97
$501.93
$652.51
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|
Kaiser
Single:
Two-Party:
Family:
|
$512.76
$1,025.52
$1,333.18
|
$256.38
$512.76
$666.59
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PERSCare
Single:
Two-Party:
Family:
|
$943.26
$1,886.52
$2,452.48
|
$471.63
$943.26
$1,226.24
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|
PERS Choice
Single:
Two-Party:
Family:
|
$526.20
$1,052.38
$1,368.10
|
$263.10
$526.19
$684.05
|
|
PERS Select
Single:
Two-Party:
Family:
|
$446.68
$893.36
$1,161.38
|
$223.34
$446.68
$580.69
|
|
PORAC
Single:
Two-Party:
Family:
|
$556.00
$1,041.00
$1,323.00
|
$278.00
$520.50
$661.50
|
|
Exclusive Care EPO
Single:
Two-Party:
Family:
|
$389.18
$784.88
$985.00
|
$194.59
$392.44
$492.50
|
|
|
|
|
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CalPERS Medical Plans - Out of State Region (Residents outside California)
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Kaiser
Single:
Two-Party:
Family:
|
$816.48
$1,632.94
$2,122.82
|
$408.24
$816.47
$1,061.41
|
|
PERSCare
Single:
Two-Party:
Family:
|
$1,163.70
$2,327.40
$3,025.62
|
$581.85
$1,163.70
$1,512.81
|
|
PERS Choice
Single:
Two-Party:
Family:
|
$649.16
$1,298.32
$1,687.82
|
$324.58
$649.16
$843.91
|
|
PORAC
Single:
Two-Party:
Family:
|
$556.00
$1,041.00
$1,323.00
|
$278.00
$520.50
$661.50
|
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County Dental Plans
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|
Local Advantage - Plus
Single:
Two-Party:
Family:
|
$47.68
$94.90
$140.52
|
$23.84
$47.45
$70.26
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Local Advantage - Blythe
Single:
Two-Party:
Family:
|
$34.02
$61.56
$94.32
|
$17.01
$30.78
$47.16
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DeltaCare USA DHMO -High Option 10A
Single:
Two-Party:
Family:
|
$20.34
$29.98
$46.00
|
$10.17
$14.99
$23.00
|
|
Delta Care USA DHMO - Low Option 11A
Single:
Two-Party:
Family:
|
$15.24
$21.98
$33.08
|
$7.62
$10.99
$16.54
|
|
Delta Dental PPO
Single:
Two-Party:
Family:
|
$43.58
$78.02
$113.68
|
$21.79
$39.01
$56.84
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County Vision Plans
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Medical Eye Services
Plan 1 (with Eye Exam & Eyewear)
Single:
Two-Party:
Family:
|
$9.46
$14.28
$19.32
|
$4.73
$7.14
$9.66
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Medical Eye Services
Plan 2 (Eyewear Only)
Single:
Two-Party:
Family:
|
$7.98
$12.72
$17.54
|
$3.99
$6.36
$8.77
|
2012 Plan Rates for Active Employees (Monthly/Semimonthly)
Rates are deducted semimonthly (twice a month). Deductions are taken 24 times a year. When you receive a third check in a month, it will not have a deduction for your medical plan, unless you have unpaid medical costs that need to be collected. Click here for the 2012 Medical and Dental rates (PDF Version).
|
|
Monthly
|
Semimonthly
|
|
County Medical Plans
|
|
Exclusive Care EPO
Single:
Two-Party:
Family:
|
$389.18
$784.88
$985.00
|
$194.59
$392.44
$492.50
|
|
Health Net HMO
Single:
Two-Party:
Family:
|
$539.86
$1,074.22
$1,394.82
|
$269.93
$537.11
$697.41
|
|
Kaiser HMO
Single:
Two-Party:
Family:
|
$524.50
$1,043.50
$1,354.50
|
$262.25
$521.75
$677.25
|
|
Health Net PPO
Single:
Two-Party:
Family:
|
$774.08
$1,542.68
$2,003.82
|
$387.04
$771.34
$1,001.91
|
|
CalPERS Medical Plans - Los Angeles Area Region (Los Angeles, San Bernardino and Ventura Counties)
|
|
Blue Shield Access HMO
Single:
Two-Party:
Family:
|
$510.72
$1,021.44
$1,327.88
|
$255.36
$510.72
$663.94
|
|
Blue Shield HPN
Single:
Two-Party:
Family:
|
$439.26
$878.50
$1,142.06
|
$219.63
$439.25
$571.03
|
|
Kaiser
Single:
Two-Party:
Family:
|
$465.64
$931.26
$1,210.64
|
$232.82
$465.63
$605.32
|
|
PERSCare
Single:
Two-Party:
Family:
|
$906.40
$1,812.78
$2,356.62
|
$453.20
$906.39
$1,178.31
|
|
PERS Choice
Single:
Two-Party:
Family:
|
$505.64
$1,011.26
$1,314.64
|
$252.82
$405.63
$657.32
|
|
PERS Select
Single:
Two-Party:
Family:
|
$429.22
$858.44
$1,115.98
|
$214.61
$429.22
$557.99
|
|
PORAC
Single:
Two-Party:
Family:
|
$556.00
$1,041.00
$1,323.00
|
$278.00
$520.50
$661.50
|
|
|
|
|
|
|
|
|
|
CalPERS Medical Plans - Other Southern California County Regions (Riverside, Orange, San Diego and Imperial Counties)
|
|
Blue Shield Access HMO
Single:
Two-Party:
Family:
|
$583.60
$1,167.20 $1,517.36
|
$291.80
$583.60
$758.68
|
|
Blue Shield HPN
Single:
Two-Party:
Family:
|
$501.94
$1,003.86
$1,305.02
|
$250.97
$501.93
$652.51
|
|
Kaiser
Single:
Two-Party:
Family:
|
$512.76
$1,025.52
$1,333.18
|
$256.38
$512.76
$666.59
|
|
PERSCare
Single:
Two-Party:
Family:
|
$943.26
$1,886.52
$2,452.48
|
$471.63
$943.26
$1,226.24
|
|
PERS Choice
Single:
Two-Party:
Family:
|
$526.20
$1,052.38
$1,368.10
|
$263.10
$526.19
$684.05
|
|
PERS Select
Single:
Two-Party:
Family:
|
$446.68
$893.36
$1,161.38
|
$223.34
$446.68
$580.69
|
|
PORAC
Single:
Two-Party:
Family:
|
$556.00
$1,041.00
$1,323.00
|
$278.00
$520.50
$661.50
|
|
Exclusive Care EPO
Single:
Two-Party:
Family:
|
$389.18
$784.88
$985.00
|
$194.59
$392.44
$492.50
|
|
|
|
|
|
CalPERS Medical Plans - Out of State Region (Residents outside California)
|
|
Kaiser
Single:
Two-Party:
Family:
|
$816.48
$1,632.94
$2,122.82
|
$408.24
$816.47
$1,061.41
|
|
PERSCare
Single:
Two-Party:
Family:
|
$1,163.70
$2,327.40
$3,025.62
|
$581.85
$1,163.70
$1,512.81
|
|
PERS Choice
Single:
Two-Party:
Family:
|
$649.16
$1,298.32
$1,687.82
|
$324.58
$649.16
$843.91
|
|
PORAC
Single:
Two-Party:
Family:
|
$556.00
$1,041.00
$1,323.00
|
$278.00
$520.50
$661.50
|
|
|
|
|
|
County Dental Plans
|
|
Local Advantage - Plus
Single:
Two-Party:
Family:
|
$47.68
$94.90
$140.52
|
$23.84
$47.45
$70.26
|
|
Local Advantage - Blythe
Single:
Two-Party:
Family:
|
$34.02
$61.56
$94.32
|
$17.01
$30.78
$47.16
|
|
DeltaCare USA DHMO -High Option 10A
Single:
Two-Party:
Family:
|
$20.34
$29.98
$46.00
|
$10.17
$14.99
$23.00
|
|
Delta Care USA DHMO - Low Option 11A
Single:
Two-Party:
Family:
|
$15.24
$21.98
$33.08
|
$7.62
$10.99
$16.54
|
|
Delta Dental PPO
Single:
Two-Party:
Family:
|
$43.58
$78.02
$113.68
|
$21.79
$39.01
$56.84
|
| |
|
|
|
County Vision Plans
|
|
Medical Eye Services
Plan 1 (with Eye Exam & Eyewear)
Single:
Two-Party:
Family:
|
$9.46
$14.28
$19.32
|
$4.73
$7.14
$9.66
|
|
Medical Eye Services
Plan 2 (Eyewear Only)
Single:
Two-Party:
Family:
|
$7.98
$12.72
$17.54
|
$3.99
$6.36
$8.77
|
|
|
|
|
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