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Page 1 of 1 <br />Ca1PERS 2016 Health Premiums - Regional <br />Contracting Agencies - PPOs Only <br />June PHB+C Proposed Premiums <br />25E -13 <br />2015 "Francisco, 2016 Percent Change <br />Single 2 -Party le 2 -Party Family ( +l•) <br />Alameda, Amador, Contra Costa, Mario, Napa, Nevada, Saquin, San Mateo, Santa Clara, Santa Cruz, Solano, <br />Sonoma Sutter, and Yuba <br />PER$Choice <br />1 <br />1,401.68 1,822.18 <br />798.36 <br />1,596.72 <br />13.91% <br />PERS Select <br />*775,08 <br />1,380.86 1,795.12 <br />730.07 <br />460.14 <br />5.74% <br />PERSCare 1,650.16 2,015.21 889.27 1,778.54 14.73% <br />a2,312.10 <br />a <br />El Dorado Placer, Sacramento and Yolo <br />PERS Choice <br />679.261 1,358.52 1,766.08 727.58 11455.16 1,891.71 <br />7,11% <br />PERS Select <br />669.16 1,338.32 1,739.82 665.35 1,330.70 1,729.91 <br />- 0.57% <br />PERSCare 751.21 1 502.42 1 953.16 810.40 620.80 2107.04 7.88% <br />a mmxmmm <br />aLo s Angeles, San Bernardino, and Ventura <br />PERS Choice I 585A8 1,170.361 <br />1,521.47 <br />59$.75 <br />1,197.50 <br />1,556.75 <br />2.32% <br />PERS Select 576.49 1,152.98 <br />1;498,87 <br />547.55 <br />1,095.10 <br />1,423.63 <br />- 5.02% <br />PERSCare 647,11 1,294.221 1,682,49 666.911 1,333.821 1,733.971 3.06% <br />� 0 0 <br />Fresno, Imperial, Inyo, Kern, Kings, Madera, Riverside, Orange, San Diego, San Luis Obispo, Santa Barbara, and Tulare <br />PERS Choice <br />594.40 <br />1,188.80 <br />1,545.44 <br />6II171 <br />1,367.42 <br />1,777.65 <br />15:03% <br />PERS Select <br />585.58 <br />1,171.16 <br />1,522.51 <br />625.20 <br />1,250.40 <br />1,625.52. <br />6.77% <br />PERSCare <br />657.32 <br />1,314.64 <br />1,709.03 <br />761.50 <br />1,523:00 <br />1,979.90 <br />15.$5 °I° <br />Alpine, $unto, Calaveras. Ca4rsa , ei Norte, Glonn, Humboidt, Sake. Lassen, Mariposa, ,Mendocino rvlemed, .Modoc, \•tww, Monterey, Piwnae. 51n <br />Benito, 5naeta, Sierra, 5iskiyou. fltanislaus, Tehama. Trinity. and Tuolumne <br />Anthem EPO Del Norte <br />656.08 1,312.161 <br />1,705.81 <br />795.57 <br />1,591.14 <br />2,068.48 <br />21.261/6 <br />Anthem EPO Monterey <br />656.08 1,312.16 <br />1,705.81 <br />795.57 <br />1,591.14 <br />2,068,48 <br />21.26% <br />PERS Choice <br />656.08 1,312.16 <br />1,705.81 <br />795.57 <br />1,591.14 <br />2,068.48 <br />21.26% <br />PIERS Select <br />646.35 1,292.70 <br />1,680.51 <br />727,47 <br />1,454.94 <br />1,891.42 <br />12.55% <br />PERSCare <br />725.54 1,451.08 <br />1,886.40 <br />886.15 <br />1,772.30 <br />2,303.99 <br />22.14% <br />PERS Choice <br />I- m <br />1 <br />y <br />653.581 1,307.16 1,699.31 <br />625.31 1,250.62 <br />1,625.81 <br />- 4.33% <br />PERSCare <br />722.74 1,445.46 1,879.12 <br />696,49 1,392.98 <br />1,810.87 <br />- 3.63% <br />2015 <br />Single I 2 -Party Family <br />2016 <br />Percent Change <br />Single <br />2-Party <br />Family <br />Medicare Premium Rates -All Re ions <br />"PERSCarel <br />339,47 <br />678,94 <br />1,018..41 <br />366.38 <br />732.76 <br />1,099.14 <br />7.93% <br />339.47 <br />678.94 <br />1,018.41 <br />366.38 <br />732,76 <br />1,099.14 <br />7.93% <br />368.761 <br />737.52 <br />281 <br />408.041 <br />816.08 1 <br />1,224.121 <br />10.65% <br />, <br />25E -13 <br />