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Page 1 of 1 <br />Ca1PERS 2016 Health Premiums - Regional <br />Contracting Agencies - PPOs Only <br />June PHBC Proposed Premiums <br />25A -14 <br />® 2015 201$ Percent Change <br />' UC,,t,, 2 -Party Family Single 2 -Party Alame a, Amador, Contra Marin, Napa, Nevada, San Francisco, San Joaquin, an Mateo, Santa Clara, Santa Cruz, Solano, <br />Sonoma. Sutter, and Yuba <br />PERS Choice 700.841 <br />1,401.68 1,822.18 <br />798.36 <br />1,596.72 <br />2,075.74 <br />13.91% <br />PERS Select 690.431 <br />1,380,86 1,795.12 <br />730.07 <br />1,460.14 <br />1,898.18 <br />5.74% <br />PERSCare 776.081 <br />1,550.16 2,015.211 <br />889.271 <br />1,778.541 <br />2,312.10 <br />14.73% <br />4 � 1 <br />El Dorado, Placer, Sacramento and Yolo <br />PIERS Choice <br />679.26 1,358.521 <br />1,766.081 <br />727.581 <br />1,455.16 <br />1,891.71 <br />7.11% <br />PERS Select <br />669.16 1,33$.32 <br />-- 1,739,821 <br />665.351 <br />1,330.701 <br />1,729.91 <br />-0.57% <br />PERSCare 751.21 1402A21 11953.151 810.401 1,620.801 2107.04 788% <br />• sm=Efllm' • <br />* GLos Angeles, San Bernardino, and Ventura <br />PERS Choice <br />585.18 1,170.36 <br />1,521.47 <br />598.75 <br />1,197.50 <br />1,556.75 <br />2.32% <br />PERS Select <br />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 <br />647.111 1,29U21 <br />1,682.49 <br />666.91 <br />1,333,821 <br />1,733.97 <br />3.06% <br />i • q <br />Fresno, Imperial, inyo, Kern, Kings, Madera, Riverside, Orange, San Diego, San Luis Obispo, Santa Barbara, and Tulare <br />PIERS Choice 594.40 <br />11188.80 1,545.44 683.71 <br />1,367.42 <br />1,777.65 <br />15.03% <br />PERS Select 585.58 <br />1,171.16 1,522.51 625.20 <br />1,250.40 <br />1,625.52 <br />6.77 °!° <br />PERSCaro 657.32 <br />1,314.84 1,709.03 761,501 <br />1,523.00 <br />1,979.90 <br />15.85% <br />Alpira, Brute. Ci,averas, Colusa. Del Norto, Gienn, blu nboidt, Lake. I_asien, Nlarlr csa. a,Mendoeirto- 4lercad, Modoc. Mono, Monterey °fur ms, San <br />Benito. Shasta, Sierra, 9isiGyou, Stanistaus. Tahama, Tr?nityj and Tuolumne <br />Anthem EPO Del Norte <br />656.08 <br />1,312..16 <br />1,705.81 <br />795.57 <br />1,591.14 <br />2,068.48 <br />21.26% <br />Anthem EPO Monterey <br />656.08 <br />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 <br />1,312.16 <br />1,705.81 <br />795.57 <br />1,591.14 <br />2,068.48 <br />21.26% <br />PERS Select <br />646.35 <br />1,292.70 <br />100.51 <br />727.47 <br />1,454.94 <br />1,891.42 <br />1255% <br />PERSCare <br />725.54 <br />1,451.08 <br />1,886.40 <br />886.15 <br />1,772.30 <br />2,303.99 <br />22.14% <br />PIERS Choice 653.58 <br />1,307.16 1,699,31 <br />625.31 1,250.621 <br />1,625.81 <br />-433% <br />PERSCare 1 722.741 <br />1,445.481 <br />1,879.121 <br />696,491 1,392,981 <br />1,810.87 <br />- 3.63% <br />2015 2016 Percent Change <br />Single 2 -Party Family Single 2 -Party I Family ( *i> <br />Medicare Premium Rates - All Regions <br />PERS Choice 1 <br />339.47 <br />878.94 <br />1,018.41 <br />366.38 <br />732.76 <br />1,099.14 <br />7.93% <br />PERS Select <br />339.47 <br />678.94 <br />1,018.41 <br />366.38 <br />732.76 <br />1,499.14 <br />7.93% <br />PERSCare <br />368.76 <br />737.52 <br />1,106.28 <br />408,04 <br />816.08 <br />1,224.12 <br />10.65% <br />25A -14 <br />