HomeMy WebLinkAboutRESOLUTIONS - 02012011 - 2011/62 att 3Attachment B
Public Defenders Association
MEDICAL/DENTAL/LIFE INSURANCE ADJUSTMENTS
Coverages Offered
The County offers the following plans:
Contra Costa Health Plans (CCHP) A & B, Kaiser, HealthNet HMO & EPO, HealthNet
PPO, Delta and PMI Care Dental.
Co-Pays
The co-pays are as follows:
CCHP A: No change
CCHP B: No change
KAISER: $10 Office Visit
$10 Generic RX
$20 Brand RX
$10 Emergency Room
HEALTHNET HMO & EPO: $10 Office Visit
$10 Generic RX
$20 Formulary RX
$35 Non-Formulary RX
$25 Emergency Room
HEALTHNET PPO: $10 Preventative Care O/V
$5 Generic RX
$5 Formulary RX
No Non-formulary RX
$50 ER Deductible
HEALTHNET PPO: Effective January 1, 2009, the lifetime maximum was increased to
two million dollars ($2,000,000).
Delta Dental Plan Enhancements
Effective January 1, 2009, added covered benefits for implants and enhanced benefits
for pregnant women which may include an additional oral exam.
For the Delta Dental Program, Annual Maximum for Calendar year 2009 through
February 28, 2011 is one thousand six-hundred dollars ($1,600).
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Attachment B
Public Defenders Association
For the Delta Dental Program, Annual Maximum beginning March 1, 2011 is one
thousand eight-hundred dollars ($1,800).
Life Insurance
Coverage is $10,000 for employees enrolled in either a health and/or dental plan.
For the calendar year 2009, the County shall provide the health and dental plan
subsidies as follows:
HEALTH PLAN SUBSIDY:
CCHP A: 98%
CCHP B: 90%
KAISER: 80%
HEALTHNET HMO/EPO: 80%
HEALTHNET PPO: (2009) 58.05% - The County and employee will equally share
(50/50) the amount of any premium
increases.
DENTAL PLAN SUBSIDY:
Delta Dental/CCHP A/B 98%
PMI Dental Care/ CCHP A/B 98%
Delta Dental 78%
PMI Dental Care 78%
Dental Only County pays all but $.01
For County Subsidy in subsequent years, see Section 16 – Health, Life and Dental Care
of this MOU.
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