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| OPEN ENROLLMENT LINKS | |
| Benefit Representative Calendar | Open Enrollment Catalog of Benefits |
| Blue Shield Informational Pieces | |
| "Dial In Your Health" post card | Body Mass Index |
| Blood Pressure | Blood Sugar |
| Cholesterol | Keep Track of your Health |
| ACTIVE CCPOA 2011 Medical Rates with Employer Contribution |
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| HMO and PPO Plans | Employee Only | Employee Plus 1 | Family |
| CCPOA Medical Plan *Must be a CCPOA Member |
South Plan – 2661 $126.86 |
South Plan – 2662 $272.13 |
South Plan – 2663 $404.96 |
| North Plan – 2561 $221.95 |
North Plan – 2562 $462.34 |
North Plan – 2563 $660.72 |
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| PERS Select PPO | $147.24 |
$311.48 |
$410.42 |
| PERS Choice | $214.45 | $445.90 | $585.17 |
| PERS Care | $528.63 | $1,074.20 | $1401.96 |
| Blue Shield/PERS | $280.68 | $578.36 | $757.37 |
| Blue Shield Net Value (Limited Areas) |
$196.72 | $410.44 | $539.07 |
| Kaiser | $201.58 | $420.16 | $551.71 |
2011 Employer Contribution |
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Retired CCPOA Members must contact CalPERS to enroll in a Medical Plan. Download CCPOA Retired Medical Rates
| Dental CalPERS maintains dental enrollment for State retirees. Please contact the CALPERS Health Benefit Division for Open Enrollment questions or to change programs, add or delete dependants. |
Vision |
| RETIRED CCPOA 2011 Medical Rate with State Contribution |
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| HMO and PPO Plans | Retiree Only | Retiree Plus 1 | Family |
| CCPOA Medical Plan *Must be a Retired CCPOA Member |
South Plan $0.00 |
South Plan $0.00 |
South Plan $0.00 |
| North Plan $1.95 |
North Plan $59.34 |
North Plan $144.72 |
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| PERS Select PPO |
0.00 | 0.00 | 0.00 |
| PERS Choice | 0.00 | 42.90 | 69.17 |
| PERS Care | 308.63 | 671.20 | 885.96 |
| Blue Shield - CalPERS | 60.68 | 175.36 | 241.37 |
| Blue Shield - Net Value | 0.00 | 7.44 | 23.07 |
| Kaiser | 0.00 | 17.16 | 35.71 |
When you or your dependant reach age 65 or obtain Medicare, your options & rates are:
| HMO and PPO Plans | Retiree Only | Retiree Plus 1 | Family |
| CCPOA Medical Plan *Must be a Retired CCPOA Member |
South Plan $0.00 |
South Plan $0.00 |
South Plan $0.00 |
| North Plan $0.00 |
North Plan $0.00 |
North Plan $0.00 |
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| PERS Select PPO |
0.00 | 0.00 | 0.00 |
| PERS Choice | 0.00 | 0.00 | 0.00 |
| PERS Care | 0.00 | 0.00 | 0.00 |
| Blue Shield - CalPERS | 0.00 | 0.00 | 0.00 |
| Blue Shield - Net Value | 0.00 | 0.00 | 0.00 |
| Kaiser | 0.00 | 0.00 | 0.00 |
| 2011 State Contribution Retiree = $541.00 Retiree Plus 1 = $1,028.00 Family = $1,323.00 These charts are your ACTUAL COST (if you are fully vested). The charts shown include the 2011 State Contribution. The amount the state pays is determined by state vesting laws. These are based on the date you were first employed and the length of your employment. If you do not know the percentage you are vested, please call 888-CALPERS. The contribution rates are estimated and can change by legislative action. |
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| Retiree CCPOA 2011 Combination Plans with State Contribution |
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| Combination Monthly Rate Employee in Supplemental Medicare & Dependant in Basic |
Employee in SM 1 Dependant in B |
Employee in SM 2 Dependants in B |
Employee & 1 Dependant in SM 1+ Dependant in B |
| CCPOA Medical Plan *Must be a Retired CCPOA Member |
South Plan $0.00 |
South Plan $0.00 |
South Plan $0.00 |
| North Plan $0.00 |
North Plan $0.00 |
North Plan $0.00 |
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| PERS Select PPO |
0.00 | 0.00 | 0.00 |
| PERS Choice | 0.00 | 0.00 | 0.00 |
| PERS Care | 255.26 | 470.92 | 540.08 |
| Blue Shield - CalPERS | 0.00 | 0.00 | 0.00 |
| Blue Shield - Net Value | 0.00 | 0.00 | 0.00 |
| Kaiser | 0.00 | 0.00 | 0.00 |
| Combination Monthly Rate Employee in Basic & Dependant in Supplemental Medicare |
Employee in B 1 Dependant in SM |
Employee in B 2 Dependants in SM |
Employee & 1 Dependant in B 1+ Dependant in SM |
| CCPOA Medical Plan *Must be a Retired CCPOA Member |
South Plan $0.00 |
South Plan $0.00 |
South Plan $0.00 |
| North Plan $0.00 |
North Plan $0.00 |
North Plan $0.00 |
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| PERS Select PPO |
0.00 | 0.00 | 0.00 |
| PERS Choice | 0.00 | 0.00 | 0.00 |
| PERS Care | 255.26 | 393.92 | 470.02 |
| Blue Shield - CalPERS | 0.00 | 0.00 | 0.00 |
| Blue Shield - Net Value | 0.00 | 0.00 | 0.00 |
| Kaiser | 0.00 | 0.00 | 0.00 |
| 2011 State Contribution Retiree Plus 1 = $1,028.00 Family = $1,323.00 These charts are your ACTUAL COST (if you are fully vested). The charts shown include the 2011 State Contribution. The amount the state pays is determined by state vesting laws. These are based on the date you were first employed and the length of your employment. If you do not know the percentage you are vested, please call 888-CALPERS. The contribution rates are estimated and can change by legislative action. |
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