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Page 3 of 3 <br />CalPERS 2016 Health Premiums - Regional <br />Contracting Agencies - HMOs Only <br />Jura PNBC Final Proposed Premiums - Alternative 1 <br />® 2015 2016 1 Percent <br />Single 2 -Party Family Single 2 -Party I Family I Change ( +i -) <br />V,) "o imor'eray Phunas. Sir <br />Ban ta. Shnsca.o '� Ssi<i /ou dt.nislaus. �,nama.Tri mly -and Tooiumna <br />Anthem HMO Select <br />$726.65 <br />$1,457.30 <br />$1,894.49 <br />$839.10 <br />$1,678.20 <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 />1,929.82 <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 />1,759.92 <br />2,287.90 <br />9.40% <br />Blue Shield NetValuo <br />753.82 <br />1,507.64 <br />1,999.93 <br />895.17 <br />1,790.34 <br />2,327.44 <br />18.75% <br />Kaiser CA <br />716.98 <br />1,433.96 <br />1,864.15 <br />756.27 <br />1,510.54 <br />1,963.70 <br />5.34% <br />UnitedHealthcare <br />677.35 <br />1,354.70 <br />1,761.11 <br />794.80 <br />1,589.60 <br />2,066.48 <br />17.34% <br />y <br />Kaiser /Out of State $922.78 $1,845.56 <br />$2,399.23 <br />$930.29 <br />$1,860.58 <br />$2,418.75 <br />0.81% <br />2015 2016 Percent <br />Single 2 -Party Family Single 2 -Party Family Change( +t.) <br />Medicare Premium Rues - All Re ions <br />Anthem Blue Cross°! <br />$445.38 <br />$890.76 <br />$1,336.14 <br />Blue Shieldb' <br />352.63 <br />705.26 <br />1,057.89 <br />Health Netbl <br />276.85 <br />553.70 <br />830.55 <br />Kaiser CA <br />.295.51 <br />591.02 <br />686.53 <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 />Sharp b/ <br />327.66 <br />655.32 <br />982.98 <br />UnitedHealthcare <br />267.41 <br />...534.62 <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 />25A -16 <br />