​​​

Health Care Premium Increase

​$50,524,000​​​​​​

The California Public Employees' Retirement System (CalPERS) administers CSU employee health care benefits. Health care premiums are shared between the CSU and its employees, with the CSU funding a significant portion of the costs. The 2023-24 CSU budget plan includes $50.5 million to fund the base increase in employer-paid health care costs resulting from changes in premiums effective January 2023. The following chart indicates the Government Code (employer-paid) health care contribution increases from 2018 through 2023:

Government Code Health Care Monthly Employer Contribution Rates​

​Eligible Dependents ​ ​2​​018​ ​2019​ ​2​020​2021
2022

​2023

​Five-Y​ear Increase ​
​​​ %​​​​​​ ​$​
​Employee Only
​$725
​$734
​$767
$798​
​$816
​$883
21.8%
​$158
​Employee + 1 dependent
​$1,377
​$1,398
​$1,461
​$1,519
​$1,548
​$1,699
​23.4%
​$322
​Employee + 2 or more
​$1,766
​$1,788
​$1,868​$1,937
​$1,983
​$2,124
​20.3%
​​$358

 

The CSU is governed by Government Code Section 22871 that defines the way employer-paid health care contribution rates are calculated. Either through policy or collective bargaining agreement, the CSU covers health care costs for represented and non-represented employees up to an amount equivalent to the established Government Code rates, with the exception of Unit 6 (Skilled Crafts), which bargained for CSU employer health contribution rates slightly above Government Code rates.

The total increase in CSU health care costs due to contribution changes during this five-year period is more than $121.5 million.

Five-Year Increase in Health Care Costs

Calend​ar Year​
(Contract Period)​
Government Code Health​ 
(Employer-Paid Budget Increase)
CSU Annualized Health Care
Budget Increase​
2019
1.3%
7,304,000
​2020
4.5%​
​25,981,000
​2021
3.8%​
23,782,000​
​2022
2.2%​
$13,962,000​
​2023
​8.0%
​$50,524,000
5-Year Increase in CSU Health Care Cos​ts:
​$121,553,000

​ 

The 2023-24 budget request funds permanent base budget costs associated with January 2023 employer health care premium increases. The CSU must absorb approximately $25.3 million during 2022-23 to fund the one-time costs related to the January 2023 premium increases for the six-month period from January-June 2023.