2018 CALPERS MONTHLY PREMIUMS BAY AREA REGION EMPLOYEES REPRESENTED BY UNITED CHIEF OFFICERS' ASSOCIATION BARGAINING UNIT HA

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1 BAY AREA REGION $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ CONTRA COSTA HEALTH PLAN $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $1, $1, $ $1, $ $ $2, $1, $1, $3, $2, $1, WESTERN HEALTH ADVANTAGE $ $ $ $1, $1, $ $2, $1, $ Alpine, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Plumas, San Benito, Shasta, Sierra, Siskiyou, Stanislaus, Tehema, Trinity and Toulumne Counties

2 SACRAMENTO AREA REGION WESTERN HEALTH ADVANTAGE $ $ $ $1, $1, $ $2, $1, $ $1, $ $ $2, $1, $ $2, $1, $1, $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $77.94 $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $1, $1, $ El Dorado, Placer, Sacramento and Yolo Counties

3 OTHER NORTHERN CALIFORNIA REGION $ $ $ $1, $1, $ $2, $1, $ ANTHEM EPO DEL NORTE $ $ $ $1, $1, $ $2, $1, $ ANTHEM EPO MONTEREY $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ and EPO $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $94.60 $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $ $1, $1, $ $1, $1, $ $1, $ $ $2, $1, $ $3, $2, $1, WESTERN HEALTH ADVANTAGE $ $ $ $1, $1, $ $1, $1, $ Alpine, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Plumas, San Benito, Shasta, Sierra, Siskiyou, Stanislaus, Tehema, Trinity and Toulumne Counties

4 LOS ANGELES AREA REGION $ $ $58.36 $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $2, $1, $ $ $ $23.39 $1, $1, $46.77 $1, $1, $60.79 HEALTH NET SALUD Y MAS $ $ $0.01 $ $ $0.01 $1, $1, $0.01 $ $ $0.01 $1, $1, $0.01 $1, $1, $0.01 $ $ $45.52 $1, $1, $91.05 $1, $1, $ $ $ $12.39 $1, $1, $24.79 $1, $1, $32.22 $ $ $0.01 $1, $1, $0.01 $1, $1, $0.01 $ $ $73.14 $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $5.60 $1, $1, $11.21 $1, $1, $14.57 Los Angeles, San Bernadino and Ventura Counties

5 OTHER SOUTHERN CALIFORNIA REGION $ $ $50.04 $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $78.24 $1, $1, $ $1, $1, $ HEALTH NET SALUD Y MAS $ $ $0.01 $ $ $0.01 $1, $1, $0.01 $ $ $5.36 $1, $1, $10.71 $1, $1, $13.92 $ $ $38.74 $1, $1, $77.50 $1, $1, $ $ $ $94.15 $1, $1, $ $1, $1, $ $ $ $42.79 $1, $1, $85.59 $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ SHARP $ $ $20.96 $1, $1, $41.93 $1, $1, $54.50 $ $ $19.48 $1, $1, $38.97 $1, $1, $50.66 Fresno, Imperial, Inyo, Kern, Kings, Madera, Riverside, Orange, San Diego, San Luis Obispo, Santa Barbara and Tulare Counties

6 OUT OF STATE REGION $ $ $ $1, $1, $ $2, $1, $ $ $ $46.20 $1, $1, $92.41 $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ $ $ $ $1, $1, $ $1, $1, $ Kaiser Out-of-State Regions Include: Colorado, Georgia, Hawaii, Mid-Atlantic, and Northwest

2019 CALPERS MONTHLY PREMIUMS BAY AREA REGION EMPLOYEES REPRESENTED BY UNITED CHIEF OFFICERS' ASSOCIATION BARGAINING UNIT HA

2019 CALPERS MONTHLY PREMIUMS BAY AREA REGION EMPLOYEES REPRESENTED BY UNITED CHIEF OFFICERS' ASSOCIATION BARGAINING UNIT HA BAY AREA REGION $831.44 $652.01 $179.43 $1,662.88 $1,304.00 $358.88 $2,161.74 $1,695.21 $466.53 $1,111.13 $725.04 $386.09 $2,222.26 $1,450.06 $772.20 $2,888.94 $1,885.09 $1,003.85 * BLUE SHIELD ACCESS+

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