HomeMy WebLinkAboutContract CAG-19-319
2019 KAISER PERMANENTE: MEDICAL/Rx/VISION
Number Full Annual Cost
Employee Monthly
Monthly Based on
Enrolled Permiums Employer Cost
Premium Enrollment
LEOFF 1 Retiree (with Medicare) 5 $554.19 $0.00 $554.19 $33,251.40
Employee 3 $515.68 $46.41 $469.27 $16,893.68
Employee and 1 Child 0 $892.28 $80.31 $811.97 $0.00
Employee and Two or More Children 0 $1,221.22 $109.91 $1,111.31 $0.00
Employee and Spouse 2 $1,301.48 $117.13 $1,184.35 $28,424.32
Employee,Spouse,and 1 Child 1 $1,678.06 $151.03 $1,527.03 $18,324.42
Family Rate: Includes Employee,
4 $2,006.96 $180.63 $1,826.33 $87,664.01
Spouse, and Two or More Children
Total $184,557.83
2020 KAISER PERMANENTE: MEDICAL/Rx/VISION
Estimated Full Annual Cost
Number Monthly Employee Monthly Based on
Permiums Employer Cost
Enrolled Premium Enrollment
•
LEOFF 1 Retiree (with Medicare) 5 $561.68 $0.00 $561.68 $33,700.80
Employee 3 $542.06 $48.79 _ $493.27 $17,757.89
Employee and 1 Child 0 $937.91 $84.41 _ $853.50 $0.00
Employee and Two or More Children 0 $1,283.67 $115.53 $1,168.14 $0.00
Employee and Spouse 2 $1,368.04 $123.12 $1,244.92 $29,877.99
Employee,Spouse,and 1 Child 1 $1,763.88 $158.75 $1,605.13 $19,261.57
Family Rate: Includes Employee,
4 $2,109.62 $189.87 $1,919.75 $92,148.20
Spouse, and Two or More Children
Total $192,746.45
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