2024 CalPERS HEALTH BENEFITS PROGRAM BASIC PLAN RATES Monthly Employee Cost All Employee Groups Unit 6 Enrolled 2024 (except Unit 6) HEALTH PLAN Employee Total 2024 2024 2023 2024 2024 2023 & Eligible Monthly Amount Amount Amount Amount Amount Amount Dependents Premium Paid by Paid by Paid by Paid by Paid by Paid by CSU Employee Employee CSU Employee Employee KAISER PERMANENTE - Employee Only $1,312.45 $983.00 $329.45 $272.43 $988.00 $324.45 $267.43 OUT OF STATE Employee + 1 $2,624.90 $1,890.00 $734.90 $611.86 $1,900.00 $724.90 $601.86 Employee + 2 or more $3,412.37 $2,366.00 $1,046.37 $880.12 $2,386.00 $1,026.37 $860.12 PERS PLATINUM Employee Only $1,215.87 $983.00 $232.87 $200.89 $988.00 $227.87 $195.89 Employee + 1 $2,431.74 $1,890.00 $541.74 $468.78 $1,900.00 $531.74 $458.78 Employee + 2 or more $3,161.26 $2,366.00 $795.26 $694.11 $2,386.00 $775.26 $674.11 PERS GOLD Employee Only $859.31 $859.31 $0.00 $0.00 $859.31 $0.00 $0.00 Employee + 1 $1,718.62 $1,718.62 $0.00 $0.00 $1,718.62 $0.00 $0.00 Employee + 2 or more $2,234.21 $2,234.21 $0.00 $0.00 $2,234.21 $0.00 $0.00 PEACE OFFICERS RESEARCH Employee Only $853.00 $853.00 $0.00 $0.00 ASSOCIATION OF CALIFORNIA Employee + 1 $1,708.00 $1,708.00 $0.00 $0.00 N/A N/A N/A (PORAC)* Employee + 2 or more $2,220.00 $2,220.00 $0.00 $0.00 SHARP PERFORMANCE PLUS Employee Only $833.24 $833.24 $0.00 $0.00 $833.24 $0.00 $0.00 CALIFORNIA Employee + 1 $1,666.48 $1,666.48 $0.00 $0.00 $1,666.48 $0.00 $0.00 (Restricted to San Diego County) Employee + 2 or more $2,166.42 $2,166.42 $0.00 $0.00 $2,166.42 $0.00 $0.00 Employee Only $882.98 $882.98 $0.00 $0.00 $882.98 $0.00 $0.00 UNITEDHEALTHCARE ALLIANCE HMO CALIFORNIA Employee + 1 $1,765.96 $1,765.96 $0.00 $0.00 $1,765.96 $0.00 $0.00 Employee + 2 or more $2,295.75 $2,295.75 $0.00 $64.47 $2,295.75 $0.00 $44.47 UNITEDHEALTHCARE Employee Only $763.70 $763.70 $0.00 $0.00 $763.70 $0.00 $0.00 HARMONY HMO CALIFORNIA Employee + 1 $1,527.40 $1,527.40 $0.00 $0.00 $1,527.40 $0.00 $0.00 Employee + 2 or more $1,985.62 $1,985.62 $0.00 $0.00 $1,985.62 $0.00 $0.00 WESTERN HEALTH Employee Only $807.23 $807.23 $0.00 $0.00 $807.23 $0.00 $0.00 ADVANTAGE Employee + 1 $1,614.46 $1,614.46 $0.00 $0.00 $1,614.46 $0.00 $0.00 (Restricted to Bay Area, Sacramento and other Northern regions) Employee + 2 or more $2,098.80 $2,098.80 $0.00 $0.00 $2,098.80 $0.00 $0.00 *This plan is restricted to employees in Unit 8, State University Police Association (SUPA) and requires membership. FLEXCASH FlexCash is available if you are eligible for health and dental coverage FlexCash Amount and have other non-CSU group medical and/or dental coverage. During Open Enrollment, you may enroll in or make changes to your Medical $128 existing FlexCash election. Dental $12 Total $140 10