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HomeMy WebLinkAboutContract CAG-20-425November 10, 2020 November 10, 2020 Attest: ________________________________________ Jason A. Seth, City Clerk Estimated Number Enrolled Full Monthly Premium Employee Permiums Monthly Employer Cost Annual Cost Based on 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 Spouse 2 1,368.04 123.12 1,244.92 29,877.99 Employee and Child 0 937.91 84.41 853.50 0.00 Employee and Children 0 1,283.67 115.53 1,168.14 0.00 Employee, Spouse, and Child 1 1,763.88 158.75 1,605.13 19,261.57 Employee, Spouse, and Children 4 2,109.62 189.87 1,919.75 92,148.20 Total 192,746.45 Estimated Number Enrolled Full Monthly Premium Employee Permiums Monthly Employer Cost Annual Cost Based on Enrollment LEOFF 1 Retiree (with Medicare)5 598.50 0.00 598.50 35,910.00 Employee 3 569.00 51.22 517.78 18,640.08 Employee and Spouse 2 1,436.02 129.24 1,306.78 31,362.72 Employee and Child 0 984.52 88.60 895.92 0.00 Employee and Children 0 1,347.46 121.28 1,226.18 0.00 Employee, Spouse, and Child 1 1,851.54 166.64 1,684.90 20,218.80 Employee, Spouse, and Children 4 2,214.46 199.30 2,015.16 96,727.68 Total 202,859.28 2021 KAISER PERMANENTE: MEDICAL/Rx/VISION 2020 KAISER PERMANENTE: MEDICAL/Rx/VISION