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APPENDIX C WPA Premium Health Insurance Cost by Coverage Level Janurary 1, 2025 to December 31, 2025 WPA Premium Health Insurance Cost by Coverage Level Employee Employee Employee Employee Employee January 1, 2025 - December 31, 2025 Only + 1 Child + Children + Spouse + Family Copay E RX7+ VSP + Willamette Dental Copay E RX 7 832.09 $ 1,551.38 $ 2,064.15 $ 1,773.01 $ 2,380.79 $ VSP A (12/12/24) 10.53 $ 12.85 $ 22.91 $ 14.71 $ 26.49 $ Willamette Dental A 58.68 $ 89.65 $ 156.40 $ 102.47 $ 180.40 $ Total Cost 901.30 $ 1,653.88 $ 2,243.46 $ 1,890.19 $ 2,587.68 $ Employee Cost 45.07 $ 82.69 $ 112.17 $ 94.51 $ 129.38 $ Cost to City 856.24 $ 1,571.19 $ 2,131.29 $ 1,795.68 $ 2,458.30 $ Copay E RX7 + VSP + CIS Dental II (Delta Dental/ODS) Copay E RX 7 832.09 $ 1,551.38 $ 2,064.15 $ 1,773.01 $ 2,380.79 $ VSP A (12/12/24) 10.53 $ 12.85 $ 22.91 $ 14.71 $ 26.49 $ CIS Dental II (Delta Dental) 51.19 $ 77.97 $ 135.72 $ 89.11 $ 156.55 $ Total Cost 893.81 $ 1,642.20 $ 2,222.78 $ 1,876.83 $ 2,563.83 $ Employee Cost 44.69 $ 82.11 $ 111.14 $ 93.84 $ 128.19 $ Cost to City 849.12 $ 1,560.09 $ 2,111.64 $ 1,782.99 $ 2,435.64 $ Copay E RX7 + VSP + Kaiser Dental Copay E RX 7 832.09 $ 1,551.38 $ 2,064.15 $ 1,773.01 $ 2,380.79 $ VSP A (12/12/24) 10.53 $ 12.85 $ 22.91 $ 14.71 $ 26.49 $ Kaiser Dental II 67.23 $ 103.59 $ 195.25 $ 118.37 $ 225.17 $ Total Cost 909.85 $ 1,667.82 $ 2,282.31 $ 1,906.09 $ 2,632.45 $ Employee Cost 45.49 $ 83.39 $ 114.12 $ 95.30 $ 131.62 $ Cost to City 864.36 $ 1,584.43 $ 2,168.19 $ 1,810.79 $ 2,500.83 $ Employee Employee Employee Employee Employee Only + 1 Child + Children + Spouse + Family Kaiser Copay B + Kaiser Vision + Willamette Dental Kaiser Copay B 887.55 $ 1,627.65 $ 2,195.31 $ 1,859.43 $ 2,531.06 $ Kaiser Vision 6.76 $ 12.47 $ 16.81 $ 14.26 $ 19.39 $ Willamette Dental A 58.68 $ 89.65 $ 156.40 $ 102.47 $ 180.40 $ Total Cost 952.99 $ 1,729.77 $ 2,368.52 $ 1,976.16 $ 2,730.85 $ Employee Cost 47.65 $ 86.49 $ 118.43 $ 98.81 $ 136.54 $ Cost to City 905.34 $ 1,643.28 $ 2,250.09 $ 1,877.35 $ 2,594.31 $ Kaiser Copay B + Kaiser Vision + ODS Delta Dental II Kaiser Copay B 887.55 $ 1,627.65 $ 2,195.31 $ 1,859.43 $ 2,531.06 $ Kaiser Vision 6.76 $ 12.47 $ 16.81 $ 14.26 $ 19.39 $ ODS Delta Dental II 51.19 $ 77.97 $ 135.72 $ 89.11 $ 156.55 $ Total Cost 945.50 $ 1,718.09 $ 2,347.84 $ 1,962.80 $ 2,707.00 $ Employee Cost 47.28 $ 85.90 $ 117.39 $ 98.14 $ 135.35 $ Cost to City 898.23 $ 1,632.19 $ 2,230.45 $ 1,864.66 $ 2,571.65 $ Kaiser Copay B + Kaiser Vision + Kaiser Dental Kaiser Copay B 887.55 $ 1,627.65 $ 2,195.31 $ 1,859.43 $ 2,531.06 $ Kaiser Vision 6.76 $ 12.47 $ 16.81 $ 14.26 $ 19.39 $ Kaiser Dental II 67.23 $ 103.59 $ 195.25 $ 118.37 $ 225.17 $ Total Cost 961.54 $ 1,743.71 $ 2,407.37 $ 1,992.06 $ 2,775.62 $ Employee Cost 48.08 $ 87.19 $ 120.37 $ 99.60 $ 138.78 $ Cost to City 913.46 $ 1,656.52 $ 2,287.00 $ 1,892.46 $ 2,636.84 $