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Premiums/Rates — Medical

CalPERS Health Benefits Program
Basic Plan Rate Comparison

	2013 Plan Information
		Premiums CSU Employer Contributions Employee Cost

Carriers	2013 Premiums*
Carriers	Employee	EE + 1	EE 2 +
Blue Shield HMO	$676.11	$1,352.22	$1,757.89
Blue Shield Advantage	$676.11	$1,352.22	$1,757.89
Blue Shield NetValue	$577.52	$1,155.04	$1,501.55
Blue Shield NetValue Advantage	$577.52	$1,155.04	$1,501.55
Kaiser	$609.34	$1,218.68	$1,584.28
Kaiser (Out of State)	$876.46	$1,752.92	$2,278.80
PERSCare	$1,029.57	$2,059.14	$2,676.88
PERS Choice	$634.06	$1,268.12	$1,648.56
PERS Select	$463.12	$926.24	$1,204.11
PORAC	$581.00	$1,088.00	$1,382.00

*Rates effective January 1, 2013.

2013 CSU Employer Contribution Rates
	EE only	$ 622.00
	EE + 1	$ 1,183.00
	EE 2 +	$1,515.00

2013 CSU Employer Contribution Rates — Unit 6
	EE only	$ 627.00
	EE + 1	$ 1,193.00
	EE 2 +	$1,535.00

Carriers	2013 Employee Cost
Carriers	Employee	EE + 1	EE 2 +
Blue Shield HMO	$54.11	$169.22	$242.89
Blue Shield Advantage	$54.11	$169.22	$242.89
Blue Shield NetValue	$0.00	$0.00	$0.00
Blue Shield NetValue Advantage	$0.00	$0.00	$0.00
Kaiser	$0.00	$35.68	$69.28
Kaiser (Out of State)	$254.46	$569.92	$763.80
PERSCare	$407.57	$876.14	$1,161.88
PERS Choice	$12.06	$85.12	$133.56
PERS Select	$0.00	$0.00	$0.00
PORAC	$0.00	$0.00	$0.00

Carriers	Unit 6 2013 Employee Cost
Carriers	Employee	EE + 1	EE 2 +
Blue Shield HMO	$49.11	$159.22	$222.89
Blue Shield Advantage	$49.11	$159.22	$222.89
Blue Shield NetValue	$0.00	$0.00	$0.00
Blue Shield NetValue Advantage	$0.00	$0.00	$0.00
Kaiser	$0.00	$25.68	$49.28
Kaiser (Out of State)	$249.46	$559.92	$743.80
PERSCare	$402.57	$866.14	$1,141.88
PERS Choice	$7.06	$75.12	$113.56
PERS Select	$0.00	$0.00	$0.00
PORAC

Content Contact:
Benefits Insider
(562) 951-4411

Technical Contact:
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Last Updated: January 24, 2013

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