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Extra Help Semi-Monthly Medical Premiums

Effective Dates:

June 1, 2022 - May 31, 2023

Level of Coverage: Employee

Medical Plan Semi-Monthly Employee
Cost
Semi-Monthly County
Contribution
Semi-Monthly Total
Premium
Kaiser Permanente Traditional HMO $269.45 $200.00 $469.45
Kaiser Permanente Hospital Services DHMO $178.00 $200.00 $378.00
Kaiser Permanente Deductible First HDHP $150.75 $200.00 $350.75
Sutter Health Plus Traditional HMO $160.35 $200.00 $360.35
Sutter Health Plus Hospital Services DHMO $109.15 $200.00 $309.15
Sutter Health Plus Deductible First HDHP $87.20 $200.00 $287.20
Western Health Advantage Traditional HMO $163.04 $200.00 $363.04
Western Health Advantage Hospital Services DHMO $100.95 $200.00 $300.95
Western Health Advantage Deductible First HDHP $72.93 $200.00 $272.93

Level of Coverage: Employee + 1

Medical Plan Semi-Monthly Employee
Cost
Semi-Monthly County
Contribution
Semi-Monthly Total
Premium
Kaiser Permanente Traditional HMO $738.90 $200.00 $938.90
Kaiser Permanente Hospital Services DHMO $556.00 $200.00 $756.00
Kaiser Permanente Deductible First HDHP $501.50 $200.00 $701.50
Sutter Health Plus Traditional HMO $520.75 $200.00 $720.75
Sutter Health Plus Hospital Services DHMO $418.35 $200.00 $618.35
Sutter Health Plus Deductible First HDHP $374.40 $200.00 $574.40
Western Health Advantage Traditional HMO $526.09 $200.00 $726.09
Western Health Advantage Hospital Services DHMO $401.92 $200.00 $601.92
Western Health Advantage Deductible First HDHP $345.87 $200.00 $545.87

Level of Coverage: Employee + 2 or more

Medical Plan Semi-Monthly Employee
Cost
Semi-Monthly County
Contribution
Semi-Monthly Total
Premium
Kaiser Permanente Traditional HMO $1,128.55 $200.00 $1,328.55
Kaiser Permanente Hospital Services DHMO $869.74 $200.00 $1,069.74
Kaiser Permanente Deductible First HDHP $792.62 $200.00 $992.62
Sutter Health Plus Traditional HMO $820.00 $200.00 $1,020.00
Sutter Health Plus Hospital Services DHMO $675.00 $200.00 $875.00
Sutter Health Plus Deductible First HDHP $612.80 $200.00 $812.80
Western Health Advantage Traditional HMO $827.42 $200.00 $1,027.42
Western Health Advantage Hospital Services DHMO $651.72 $200.00 $851.72
Western Health Advantage Deductible First HDHP $572.41 $200.00 $772.41