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Page 3 of 3 <br />Ca1PERS 2016 Health Premiums - Regional <br />Contracting Agencies - HMOs Only <br />June PHBC Final Proposed Premiums - Alternative 1 <br />2015 2016 Percent <br />Single 2 -Party Family Single I 2 -Party Family change ( +l -) <br />A pure. BuE[a. Calaveras. (,ni r. a. qel No+ ., o,erm, uw ,�boldt, Law. Las 5qo, Mar >osa. MenJ>C .r,,, M .r;..d, hiodoc. �Lhno. hioatarey, Plww s. San <br />Benito. Shasta. Sierra, Ssktyou. SPaNSiaus. "shams, Tnmt and Tuniurn.ne <br />Anthem HMO Select <br />$728.65 <br />$1,457.30 <br />$1,894.49 <br />$839,10 <br />$2,181,66 <br />15.16% <br />Anthem HMO Traditional <br />838.48 <br />1,676.96 <br />2,180,05 <br />964.91 <br />2,508.77 <br />15.08% <br />Blue Shield Access+ <br />804.34 <br />1,608.68 <br />2,091.28 <br />879.96 <br />2,287,90 <br />9.40 %Blue <br />ShieldNetValue <br />753.82 <br />1,507.64 <br />1,959.93 <br />895.17 <br />L1,759.92 <br />2,327.44 <br />18.75% <br />Kaiser CA <br />716.98 <br />1,433.96 <br />1,864.15 <br />755.27 <br />1,963.70 <br />5.34% <br />UnitedHealthcare <br />677.35 <br />1,354.70 <br />1,761,11 <br />794,80 <br />2,066.48 <br />17.34% <br />Kaiser /Out of State <br />$922.78 <br />$1,845.56 <br />9 <br />$2,399.23 $930.291 <br />$1,860.56 <br />$2,418.761 <br />0.81% <br />2015 2016 Percent <br />' Single I 2 -Party I Family Single 2 -Party 7Famljy Change ( +l -) <br />Medicare Premium Rates - All Re ions <br />Anthem Blue Crose <br />$445.38 <br />$890.76 <br />$1,336.14 <br />Blue Shield"' <br />352.63 <br />705.26 <br />1,057.89 <br />Health Not b/ <br />27685 <br />553.70 <br />830.55 <br />Kaiser CA <br />295.51 <br />591.02 <br />886.53 <br />297.23 <br />594.46 <br />891.69 <br />0.58% <br />Kaiser Out of State <br />390.47 <br />780.94 <br />1,171.41: <br />297.23 <br />594.46 <br />891,69 <br />- 23.88% <br />Shar br <br />327.66 <br />655.32 <br />982.98 <br />UnitedHealthcare <br />267.41 <br />534.82 <br />802.23 <br />320.98 <br />641.96 <br />962,94 <br />a/ New health plan option for 2016 <br />b/ Medicare healthplan is not available for 2016 under the Single Carrier Proposal <br />25E -15 <br />