Human Resources Benefits Unit

Medical Plan Premium Comparison Charts for Extra Help Employees

premiumratesimageEffective Dates:

June 1, 2019 - May 31, 2020

Level of Coverage: Self

Medical Plan Semi-Monthly Employee
Cost
Semi-Monthly County
Contribution
Semi-Monthly Total
Premium
Kaiser Permanente HMO $231.87 $200.00 $431.87
Kaiser Permanente Hospital Services DHMO $147.73$200.00 $347.73
Kaiser Permanente Deductible First HDHP $122.67 $200.00 $322.67
Sutter Health Plus HMO $122.87 $200.00 $322.87
Sutter Health Plus Hospital Services DHMO$77.04$200.00$277.04
Sutter Health Plus Deductible First HDHP$57.17$200.00 $257.17
Western Health Advantage HMO $190.60 $200.00 $390.60
Western Health Advantage Hospital Services DHMO$115.91$200.00 $315.91
Western Health Advantage Deductible First HDHP$93.65$200.00$293.65

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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 $663.74 $200.00 $863.74
Kaiser Permanente Hospital Services DHMO $495.46$200.00 $695.46
Kaiser Permanente Deductible First HDHP $445.34 $200.00 $645.34
Sutter Health Plus HMO $445.80 $200.00 $645.80
Sutter Health Plus Hospital Services DHMO$354.10$200.00$554.10
Sutter Health Plus Deductible First HDHP$314.26$200.00 $514.26
Western Health Advantage HMO $581.21 $200.00 $781.21
Western Health Advantage Hospital Services DHMO$431.83$200.00 $631.83
Western Health Advantage Deductible First HDHP$387.30$200.00$587.30

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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 $1,022.19 $200.00 $1,222.19
Kaiser Permanente Hospital Services DHMO $784.08$200.00 $984.08
Kaiser Permanente Deductible First HDHP $713.16 $200.00 $913.16
Sutter Health Plus HMO $713.90 $200.00 $913.90
Sutter Health Plus Hospital Services DHMO$584.11$200.00$784.11
Sutter Health Plus Deductible First HDHP$527.93$200.00 $727.93
Western Health Advantage HMO $905.40 $200.00 $1,105.40
Western Health Advantage Hospital Services DHMO$694.03$200.00 $894.03
Western Health Advantage Deductible First HDHP$631.02$200.00$831.02

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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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