Human Resources Benefits Unit

Medical Plan Premium Comparison Charts for Extra Help Employees

premiumratesimageEffective Dates:

June 1, 2020 - May 31, 2021

Level of Coverage: Self

Medical Plan Semi-Monthly Employee
Cost		Semi-Monthly County
Contribution		Semi-Monthly Total
Premium
Kaiser Permanente HMO $251.97 $200.00 $451.97
Kaiser Permanente Hospital Services DHMO $163.92$200.00 $363.92
Kaiser Permanente Deductible First HDHP $122.67 $200.00 $322.67
Sutter Health Plus HMO $137.19 $200.00 $337.19
Sutter Health Plus Hospital Services DHMO$89.31$200.00$289.31
Sutter Health Plus Deductible First HDHP$68.59$200.00 $268.59
Western Health Advantage HMO $149.50 $200.00 $349.50
Western Health Advantage Hospital Services DHMO$89.72$200.00 $289.72
Western Health Advantage Deductible First HDHP$62.74$200.00$262.74

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Level of Coverage: Self + 1 Dependent

Medical Plan Semi-Monthly Employee
Cost		Semi-Monthly County
Contribution		Semi-Monthly Total
Premium
Kaiser Permanente HMO $703.94 $200.00 $903.94
Kaiser Permanente Hospital Services DHMO $527.84$200.00 $727.84
Kaiser Permanente Deductible First HDHP $445.34 $200.00 $645.34
Sutter Health Plus HMO $474.43 $200.00 $674.43
Sutter Health Plus Hospital Services DHMO$378.65$200.00$578.65
Sutter Health Plus Deductible First HDHP$336.99$200.00 $536.99
Western Health Advantage HMO $499.00 $200.00 $699.00
Western Health Advantage Hospital Services DHMO$379.46$200.00 $579.46
Western Health Advantage Deductible First HDHP$325.50$200.00$525.50

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Level of Coverage:
Self + 2 or more Dependents (Family)

Medical Plan Semi-Monthly Employee
Cost		Semi-Monthly County
Contribution		Semi-Monthly Total
Premium
Kaiser Permanente HMO $1,079.08 $200.00 $1,279.08
Kaiser Permanente Hospital Services DHMO $829.89$200.00 $1,029.89
Kaiser Permanente Deductible First HDHP $713.16 $200.00 $913.16
Sutter Health Plus HMO $754.41 $200.00 $954.41
Sutter Health Plus Hospital Services DHMO$618.85$200.00$818.85
Sutter Health Plus Deductible First HDHP$560.23$200.00 $760.23
Western Health Advantage HMO $789.08 $200.00 $989.08
Western Health Advantage Hospital Services DHMO$619.94$200.00 $819.94
Western Health Advantage Deductible First HDHP$543.59$200.00$743.59

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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
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