Full Text
APPENDIX C WPA Premium Health Insurance Cost by Coverage Level Janurary 1, 2025 to December 31, 2025 WPA Premium - 75% FTE 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 5% + 25% of employer 259.12 $ 475.49 $ 644.99 $ 543.43 $ 743.96 $ Cost to City 642.18 $ 1,178.39 $ 1,598.47 $ 1,346.76 $ 1,843.72 $ 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 5% + 25% of employer 256.97 $ 472.13 $ 639.05 $ 539.59 $ 737.10 $ Cost to City 636.84 $ 1,170.07 $ 1,583.73 $ 1,337.24 $ 1,826.73 $ 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 5% + 25% of employer 261.58 $ 479.50 $ 656.16 $ 548.00 $ 756.83 $ Cost to City 648.27 $ 1,188.32 $ 1,626.15 $ 1,358.09 $ 1,875.62 $ 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 5% + 25% of employer 273.98 $ 497.31 $ 680.95 $ 568.15 $ 785.12 $ Cost to City 679.01 $ 1,232.46 $ 1,687.57 $ 1,408.01 $ 1,945.73 $ 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 5% + 25% of employer 271.83 $ 493.95 $ 675.00 $ 564.31 $ 778.26 $ Cost to City 673.67 $ 1,224.14 $ 1,672.84 $ 1,398.49 $ 1,928.74 $ 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 5% + 25% of employer 276.44 $ 501.32 $ 692.12 $ 572.72 $ 797.99 $ Cost to City 685.10 $ 1,242.39 $ 1,715.25 $ 1,419.34 $ 1,977.63 $