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Region 2 Rates

	Anthem HMO Select	Anthem HMO Traditional	Blue Shield Access+HMO	Blue Shield Trio	Kaiser	PERS Platinum	PERS Gold
Employee Only
Base	$1,016.32	$1,158.26	$1,052.89	$936.58	$987.69	$1,426.24	$956.28
Admin Fee	$0.81	$0.93	$0.84	$0.75	$0.79	$1.14	$0.77
Vision	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Dental	$49.76	$49.76	$49.76	$49.76	$49.76	$49.76	$49.76
Total	$1,066.89	$1,208.95	$1,103.49	$987.09	$1,038.24	$1,477.14

	Anthem HMO Select	Anthem HMO Traditional	Blue Shield Access+HMO	Blue Shield Trio	Kaiser	PERS Platinum	PERS Gold
Employee + 1
Base	$2,032.64	$2,316.52	$2,105.78	$1,873.16	$1,975.38	$2,852.48	$1,912.56
Admin Fee	$1.63	$1.85	$1.68	$1.50	$1.58	$2.28	$1.53
Vision	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Dental	$99.49	$99.49	$99.49	$99.49	$99.49	$99.49	$99.49
Total	$2,133.76	$2,417.86	$2,206.95	$1,974.15	$2,076.45	$2,954.25	$2,013.58

	Anthem HMO Select	Anthem HMO Traditional	Blue Shield Access+HMO	Blue Shield Trio	Kaiser	PERS Platinum	PERS Gold
Employee + Family
Base	$2,642.43	$3,011.48	$2,737.51	$2,435.11	$2,567.99	$3,708.22	$2,486.33
Admin Fee	$2.11	$2.41	$2.19	$1.95	$2.05	$2.97	$1.99
Vision	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Dental	$135.13	$135.13	$135.13	$135.13	$135.13	$135.13	$135.13
Total	$2,779.67	$3,149.02	$2,874.83	$2,572.19	$2,705.17	$3,846.32	$2,623.45

Monthly Cafeteria Allowance:

$2,085 for employees with 2 or more dependents (health, dental and vision)
$1,600 for employees with 1 dependent (health, dental and vision)
$800 for employees with employee only (health, dental and vision)
$550.00 for employees:
- who waive health, dental and vision, or
- who waive health, but keep dental & vision

*Included within this amount is the designated minimum health contribution of $162.00.