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[CalPERS Open Enrollment ]

Staff/Faculty/MPP (except Unit 6)  ♦   Unit 6   ♦  CalPERS Health Plan Rates Page  ♦
 

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Units 1, 2, 3, 4, 5, 7, 8, 9, C99, M80   Printable Version (Excel)

		Gross	University	Employee
Health Plan Name	Plan Code	Premium	Contribution	Cost/ mo.
Blue Shield
Employee only	2051	$315.22	$315.22	$0.00
Employee & 1 dep.	2052	$630.44	$621.00	$9.44
Employee & 2 or	2053	$819.57	$780.00	$39.57
more dependents
Kaiser
Employee only	561	$305.42	$305.42	$0.00
Employee & 1 dep.	562	$610.84	$610.84	$0.00
Employee & 2 or	563	$794.09	$780.00	$14.09
more dependents
PERS - Care (PPO)
Employee only	2781	$544.77	$331.00	$213.77
Employee & 1 dep.	2782	$1,089.54	$621.00	$468.54
Employee & 2 or	2783	$1,416.40	$780.00	$636.40
more dependents
PERS - Choice (PPO)
Employee only	2221	$349.41	$331.00	$18.41
Employee & 1 dep.	2222	$698.82	$621.00	$77.82
Employee & 2 or	2223	$908.47	$780.00	$128.47
more dependents

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Unit 6   Printable Version  (Excel)

		Gross	University	Employee
Health Plan Name	Plan Code	Premium	Contribution	Cost/ mo.
Blue Shield
Employee only	2051	$315.22	$315.22	$0.00
Employee & 1 dep.	2052	$630.44	$630.44	$0.00
Employee & 2 or	2053	$819.57	$800.00	$19.57
more dependents
Kaiser
Employee only	561	$305.42	$305.42	$0.00
Employee & 1 dep.	562	$610.84	$610.84	$0.00
Employee & 2 or	563	$794.09	$794.09	$0.00
more dependents
PERS - Care (PPO)
Employee only	2781	$544.77	$336.00	$208.77
Employee & 1 dep.	2782	$1,089.54	$631.00	$458.54
Employee & 2 or	2783	$1,416.40	$800.00	$616.40
more dependents
PERS - Choice (PPO)
Employee only	2221	$349.41	$336.00	$13.41
Employee & 1 dep.	2222	$698.82	$631.00	$67.82
Employee & 2 or	2223	$908.47	$800.00	$108.47
more dependents

More information - visit the CalPERS Health Plan Rates Page

and  Cal State San Marcos CalPERS Open Enrollment memo

 

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Human Resources and Equal Opportunity
Cal State San Marcos
San Marcos, CA 92096-0001