Human Resources Benefits Unit

Medical Premium Rates for Retirees with Medicare, $500 Contribution

premiumratesimageEffective Dates:
June 1, 2020 - May 31, 2021

Levels of Coverage

Retiree and All Dependents - Medicare

Self
Two-Party
Family

Retiree and Dependents - Split Enrollment in Medicare and Non-Medicare

1 Medicare + 1 Non-Medicare
1 Medicare + 2 or more Non-Medicare
Retiree and Spouse Medicare + 1 or more Non-Medicare
Retiree and Child Medicare + Spouse Non-Medicare

Eligibility for County Contribution

Please note: Monthly county contribution is for eligible retirees only. Please contact the County Benefits Unit for questions about eligibility.

Level of Coverage:
Self - Medicare

Medical Plan Monthly Retiree CostMonthly County ContributionMonthly Total Premium
County Health Plan EPO$92.33$500.00$592.33
County Health Plan PPO$217.64$500.00$717.64
Kaiser Senior Advantage $0.00$330.93 $330.93
Kaiser Northwest$0.00$316.14$316.14
Kaiser Hawaii$0.00$422.68$422.68

Medicare retirees enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.

Back to top

Level of Coverage:
Two-Party - Both Medicare

Medical Plan Monthly Retiree CostMonthly County ContributionMonthly Total Premium
County Health Plan EPO $684.66$500 $1,184.66
County Health Plan PPO $935.28$500 $1,435.28
Kaiser Senior Advantage $161.86$500 $661.86
Kaiser Northwest$132.28$500$632.28
Kaiser Hawaii$345.36$500$845.36

Medicare retirees and dependents enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.  Non-Medicare dependents will continue to be enrolled in standard Kaiser Permanente plans.   The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.

Back to top

Level of Coverage:
Family - All Medicare

Medical Plan Monthly Retiree CostMonthly County Contribution Monthly Total Premium
County Health Plan EPO $1,276.99$500 $1,776.99
County Health Plan PPO $1,652.92$500 $2,152.92
Kaiser Senior Advantage$492.79$500 $992.79
Kaiser Northwest$448.42$500$948.42
Kaiser Hawaii $768.04$500$1,268.04

Medicare retirees and dependents enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.

Back to top

Level of Coverage:
1 Medicare + 1 Non-Medicare

Medical Plan Monthly Retiree CostMonthly County ContributionMonthly Total Premium
County Health Plan EPO $1,193.29$500 $1,693.29
County Health Plan PPO $1,551.58$500 $2,051.58
Kaiser Permanente Traditional HMO $734.87$500 $1,234.87
Kaiser Permanente Hospital Services DHMO $558.77$500 $1,058.77
Kaiser Permanente Deductible First HDHP $506.31$500 $1,006.31
Kaiser Northwest$872.11$500$1,372.11
Kaiser Hawaii $839.34$500$1,339.34

Medicare retirees and dependents enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.  Non-Medicare dependents will continue to be enrolled in standard Kaiser Permanente plans.   The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.

Back to top

Level of Coverage:
1 Medicare + 2 or more Non-Medicare

Medical Plan Monthly Retiree CostMonthly County Contribution Monthly Total Premium
County Health Plan EPO $2,243.01$500 $2,743.01
County Health Plan PPO $2,839.76$500 $3,339.76
Kaiser Permanente Traditional HMO $1,485.15$500 $1,985.15
Kaiser Permanente Hospital Services DHMO $1,162.87$500 $1,662.87
Kaiser Permanente Deductible First HDHP $1,066.87$500 $1,566.87
Kaiser Northwest$1,928.08$500$2,428.08
Kaiser Hawaii $1,756.00$500$2,256.00

Medicare retirees enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.  Non-Medicare dependents will continue to be enrolled in standard Kaiser Permanente plans.   The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.

Back to top

Level of Coverage: 
Retiree and Spouse Medicare + 1 or more Non-Medicare

Medical PlanMonthly Retiree CostMonthly County ContributionMonthly Total Premium
County Health Plan EPO $1,785.62$500 $2,285.62
County Health Plan PPO $2,269.22$500 $2,769.22
Kaiser Permanente Traditional HMO $912.14$500 $1,412.14
Kaiser Permanente Hospital Services DHMO $765.96$500 $1,265.96
Kaiser Permanente Deductible First HDHP $722.42$500 $1,222.42
Kaiser Northwest$1,188.26$500$1,688.26
Kaiser Hawaii $1,262.02$500$1,762.02

Medicare retirees and dependents enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.  Non-Medicare dependents will continue to be enrolled in standard Kaiser Permanente plans.   The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.

Back to top

Level of Coverage: 
Retiree and Child Medicare + Spouse Non-Medicare

Medical Plan Monthly Retiree CostMonthly County ContributionMonthly Total Premium
County Health Plan EPO $1,785.62$500 $2,285.62
County Health Plan PPO $2,269.22$500 $2,769.22
Kaiser Permanente Traditional HMO $1,065.80$500 $1,565.80
Kaiser Permanente Hospital Services DHMO $889.70$500 $1,389.70
Kaiser Permanente Deductible First HDHP $837.24$500 $1,337.24
Kaiser Northwest$1,188.26$500$1,688.26
Kaiser Hawaii $1,262.02$500 $1,762.02

Medicare retirees and dependents enrolled in a Northern California Kaiser plan will be enrolled in the Kaiser Senior Advantage plan.  Non-Medicare dependents will continue to be enrolled in standard Kaiser Permanente plans.   The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.

Back to top

Contact Information

Benefits Unit

Human Resources Department

Business Hours
Monday – Friday
8:00 AM – 5:00 PM
Contact us by Phone
Address
575 Administration Drive
Room 116 B
Santa Rosa, CA 95403
38.465237, -122.725363

Employee Fire Assistance

Information and Resources

Symbolic Hands Working Together-75

Disaster Leave, Local Assistance Center, Benefit Information, and more!

Healthy Habits

Learn More

Healthy Habits Thumbnail

Find events, tips, tools, and myriad resources to help you maintain your well-being.

Labor Negotiations

Labor Agreements & Salary Resolution
Find negotiation updates, MOUs and salary resolution information, and bargaining unit contacts.

Long Term Disability

Long Term Disability Benefit Program
County of Sonoma currently provides two (2) separate insured Long Term Disability Benefit (LTD) plans.