Single Family
District Employee Total District Employee Total Deductible Office Co-Pay Annual Max
San Francisco
Kaiser $201.57 $3.47 $205.04 $314.07 $254.40 $568.47 n/a $10.00 n/a
City $201.57 $47.39 $248.96 $314.07 $355.70 $669.77 $250.00 n/a n/a
Blue Shield $201.57 $5.08 $206.65 $314.07 $258.87 $572.94 n/a $10.00 n/a
Pacific Care $201.57 $17.07 $218.64 $314.07 $292.18 $606.25 n/a $10.00 n/a
Average $201.57 $314.07
Delta $109.87 $0.00 $109.87 $109.87 $0.00 $109.87 n/a n/a $2,000
Vision Included w/ Med Included w/ Med
Total District Cost $311.44 $423.94
Average 33% 67% $386.44
Ohlone
Kaiser $0.00 $431.17 $431.17 $0.00 $1,121.04 $1,121.04 n/a n/a n/a
Blue Shield $0.00 $484.21 $484.21 $0.00 $1,258.95 $1,258.95 n/a n/a n/a
Pers Choice $0.00 $455.18 $455.18 $0.00 $1,183.41 $1,183.41 n/a n/a n/a
Pers Choice $0.00 $769.50 $769.50 $0.00 $2,000.70 $2,000.70 n/a n/a n/a
Average $0.00 $0.00
Delta $104.48 $0.00 $104.48 $104.48 $0.00 $104.48 n/a n/a 1500
VSP $13.94 $0.00 $13.94 $13.94 $0.00 $13.94 n/a n/a n/a
Total District Cost $118.42 $118.42
Average 33% 67% $118.42
Marin
Kaiser $450.36 $0.00 $450.36 $1,197.96 $0.00 $1,197.96 n/a $5.00
HealthNet HMO $575.30 $0.00 $575.30 $1,197.96 $470.41 $1,668.37 n/a $5.00
HealthNet Select $798.89 $0.00 $798.89 $1,197.96 $1,118.84 $2,316.80 n/a $5.00
Average $608.18 $1,197.96
Delta $104.50 $0.00 $104.50 $104.50 $0.00 $104.50 n/a n/a n/a
VSP $15.50 $0.00 $15.50 $15.50 $0.00 $15.50 n/a n/a n/a
Total District Cost $728.18 $1,317.96
Average 33% 67% $1,121.37
Chabot
Kaiser $421.39 $0.00 $421.39 $1,264.16 $0.00 $1,264.16 n/a $5.00 n/a
Blue Cross $543.61 $0.00 $543.61 $1,793.81 $0.00 $1,793.81 n/a $5.00 n/a
Blue Cross PPO $543.61 $265.94 $809.55 $1,793.81 $878.10 $2,671.91 $500 single $1,500 family Per month PPO rate minus highest HMO rate
Average $502.87 $1,617.26
Delta $55.73 $0.00 $55.73 $164.40 $0.00 $164.40 n/a n/a n/a
VSP $12.27 $0.00 $12.27 $36.82 $0.00 $36.82 n/a n/a n/a
Total District Cost $570.87 $1,818.48
Average 33% 67% $1,402.61
San Jose
Kaiser $474.00 $0.00 $474.00 $1,341.43 $0.00 $1,341.43 n/a $25, preventive care only like physical n/a
Blue Cross $530.94 $0.00 $530.94 $1,592.81 $0.00 $1,592.81 $25, preventive care only like physical n/a
Average $502.47 $1,467.12
Delta $113.75 $0.00 $113.75 $113.75 $0.00 $113.75 n/a n/a
Vision $10.08 $0.00 $10.08 $10.08 $0.00 $10.08 n/a n/a n/a
Total District Cost $626.30 $1,590.95
Average 33% 67% $1,269.40
Foothill
Kaiser $424.62 $0.00 $424.62 $1,204.68 $0.00 $1,204.68 n/a $20.00 n/a
PPO Network Plan $421.28 $0.00 $421.28 $1,176.19 $0.00 $1,176.19 150 single 400 family $20.00 n/a
PPO+ Plan $624.47 $0.00 $624.47 $1,747.82 $0.00 $1,747.82 151 single 400 family $20.00 n/a
Average $490.12 $1,376.23
Delta $61.08 n/a $61.08 $153.89 n/a $153.89 n/a n/a
Vision $8.93 n/a $8.93 $22.51 n/a $22.51 n/a n/a n/a
Total District Cost $560.13 $1,552.63
Average 33% 67% $1,221.80
San Mateo
Kaiser $431.17 $0.00 $431.17 $1,081.04 $40.00 $1,121.04 $0.00 $10.00 n/a
Blue Shield $484.21 $0.00 $484.21 $1,081.04 $177.91 $1,258.95 $0.00 $10.00 n/a
PERS Care $604.00 $165.50 $769.50 $1,081.04 $919.66 $2,000.70 $500.00 n/a n/a
Pers Choice $455.18 $0.00 $455.18 $1,081.04 $102.43 $1,183.47 $500.00 n/a n/a
Average $493.64 $1,081.04
Delta $60.93 n/a $60.93 $158.62 n/a $158.62 n/a n/a 2200
PMI (dental) $29.19 n/a $29.19 $69.49 n/a $69.49 n/a n/a n/a
VSP $11.12 n/a $11.12 $33.35 n/a $33.35 n/a 10 n/a
Total District Cost $594.88 $1,342.50
Average 33% 67% $1,093.29
Contra Costa
Kaiser $368.17 $23.50 $391.67 $1,041.91 $66.51 $1,108.42 n/a $15.00 n/a
HealthNet HMO $469.82 $29.99 $499.81 $1,272.30 $81.21 $1,353.51 n/a $15.00 n/a
HealthNet Elect $542.86 $34.65 $577.51 $1,470.12 $93.84 $1,563.96 n/a $25.00 n/a
Average $460.28 $1,261.44
Delta $63.11 $4.03 $67.14 $164.10 $10.47 $174.57 n/a n/a $2,000.00
Vision n/a $0.00 $14.72 n/a $0.00 $47.38 n/a $10.00 n/a
Total District Cost $523.39 $1,425.54
Average 33% 67% $1,124.83
West Valley not yet available
Peralta not yet available