2017 Health Premium Rates»

2016 Vested Health Premium Rates

The CAPS MOU requires the state to pay 80% of the weighted average of the four largest health plans offered by CalPERS. As a result, the state’s 2016 contribution toward each employee’s health plan will increase to the amounts listed in the first column in the chart below. YOU must pay the difference between the state contribution amount and the premium for the health plan in which you are enrolled.

Details on plan changes will come directly from CalPERS to individual members, or go to the CalPERS website. Open enrollment is held in the Fall for each next enrollment year.  FlexElect open enrollment is held at the same time.

You may wish to reduce your taxable income by estimating your medical expenses and participating in the Medical Reimbursement Program.  Information is on DPA’s website at http://www.calhr.ca.gov/employees/Pages/reimbursement-accounts-medical.aspx.

STATE CONTRIBUTION SINGLETWO-PARTYFAMILY
201656211281469
201552410501368
ANTHEM HMO SELECT 
 PremiumSingleTwo-PartyFamily
201669613921809
201563912791663
Out-of-Pocket Cost
2016134264340
2015115229295
ANTHEM HMO TRADITIONAL  
 PremiumSingleTwo-PartyFamily
201675215051956
201572714551891
Out-of-Pocket Cost
2016190377487
2015203405523
BLUE SHIELD ACCESS + HMO  
 PremiumSingleTwo-PartyFamily
201676715351995
201571814361867
Out-of-Pocket Cost
2016205407526
2015194386499
BLUE SHIELD Net Value SM 
 PremiumSingleTwo-PartyFamily
201676115221979
201567013411743
Out-of-Pocket Cost
2016199394510
2015146291375
KAISER CA 
 Premium  SingleTwo-PartyFamily
201666213241721
201563312661646
Out-of-Pocket Cost
2016100196252
2015109216278
KAISER Out of State 
Premium  SingleTwo-PartyFamily
201693018612419
201592318462399
Out-of-Pocket Employee Cost
2016368733950
20153997961031
HEALTH NET SALUD Y MÁS  
 PremiumSingleTwo-PartyFamily
201655211051436
201553610721394
Out-of-Pocket Cost
2016000
2015122226
HEALTH NET SMARTCARE  
 PremiumSingleTwo-PartyFamily
201665113021693
201567113431746
Out-of-Pocket Cost
201689174224
2015147293378
SHARP  
 PremiumSingleTwo-PartyFamily
201657511491494
201558611731525
Out-of-Pocket Cost
2016132125
201562123157
UNITED HEALTHCARE  
PremiumSingleTwo-PartyFamily
201662612521627
201564212851670
Out-of-Pocket Cost
201664124158
2015118235302
PERS Select  
 PremiumSingleTwo-PartyFamily
201665013001689
201561812361607
Out-of-Pocket Employee Cost
201688172220
201594186239
PERSChoice
 PremiumSingleTwo-PartyFamily
201671614311861
201564012811665
Out-of-Pocket Employee Cost
2016154303392
2015116231297
PERSCare  
 Premium  SingleTwo-PartyFamily
201680216032084
201571914381869
Out-of-Pocket Employee Cost
2016240475615
2015195388501