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APPENDIX C WPA Premium Health Insurance Cost by Coverage Level Janurary 1, 2026 to December 31, 2026 WPA and WPA Sgt Premium Health Insurance Cost by Coverage Level Employee Employee Employee Employee Employee January 1, 2026 - December 31, 2026 Only + 1 Child + Children + Spouse + Family Copay E RX7+ VSP + Willamette Dental Copay E RX 7 906.74 $ 1,690.42 $ 2,249.31 $ 1,932.03 $ 2,594.34 $ VSP A (12/12/24) 11.17 $ 13.61 $ 24.29 $ 15.59 $ 28.07 $ Willamette Dental A 62.78 $ 95.92 $ 167.33 $ 109.64 $ 193.01 $ Total Cost 980.69 $ 1,799.95 $ 2,440.93 $ 2,057.26 $ 2,815.42 $ Employee Cost 49.03 $ 90.00 $ 122.05 $ 102.86 $ 140.77 $ Cost to City 931.66 $ 1,709.95 $ 2,318.88 $ 1,954.40 $ 2,674.65 $ Copay E RX7 + VSP + CIS Dental II (Delta Dental/ODS) Copay E RX 7 906.74 $ 1,690.42 $ 2,249.31 $ 1,932.03 $ 2,594.34 $ VSP A (12/12/24) 11.17 $ 13.61 $ 24.29 $ 15.59 $ 28.07 $ CIS Dental II (Delta Dental) 53.78 $ 81.93 $ 142.61 $ 93.64 $ 164.49 $ Total Cost 971.69 $ 1,785.96 $ 2,416.21 $ 2,041.26 $ 2,786.90 $ Employee Cost 48.58 $ 89.30 $ 120.81 $ 102.06 $ 139.35 $ Cost to City 923.11 $ 1,696.66 $ 2,295.40 $ 1,939.20 $ 2,647.56 $ Copay E RX7 + VSP + Kaiser Dental Copay E RX 7 906.74 $ 1,690.42 $ 2,249.31 $ 1,932.03 $ 2,594.34 $ VSP A (12/12/24) 11.17 $ 13.61 $ 24.29 $ 15.59 $ 28.07 $ Kaiser Dental II 69.25 $ 106.70 $ 200.91 $ 121.93 $ 231.69 $ Total Cost 987.16 $ 1,810.73 $ 2,474.51 $ 2,069.55 $ 2,854.10 $ Employee Cost 49.36 $ 90.54 $ 123.73 $ 103.48 $ 142.71 $ Cost to City 937.80 $ 1,720.19 $ 2,350.78 $ 1,966.07 $ 2,711.40 $ Employee Employee Employee Employee Employee Only + 1 Child + Children + Spouse + Family Surest+ VSP + Willamette Dental Surest 803.93 $ 1,496.22 $ 1,989.98 $ 1,709.70 $ 2,294.81 $ VSP A (12/12/24) 11.17 $ 13.61 $ 24.29 $ 15.59 $ 28.07 $ Willamette Dental A 62.78 $ 95.92 $ 167.33 $ 109.64 $ 193.01 $ Total Cost 877.88 $ 1,605.75 $ 2,181.60 $ 1,834.93 $ 2,515.89 $ Employee Cost 43.89 $ 80.29 $ 109.08 $ 91.75 $ 125.79 $ Cost to City 833.99 $ 1,525.46 $ 2,072.52 $ 1,743.18 $ 2,390.10 $ Surest + VSP + CIS Dental II (Delta Dental/ODS) Surest 803.93 $ 1,496.22 $ 1,989.98 $ 1,709.70 $ 2,294.81 $ VSP A (12/12/24) 11.17 $ 13.61 $ 24.29 $ 15.59 $ 28.07 $ CIS Dental II (Delta Dental) 53.78 $ 81.93 $ 142.61 $ 93.64 $ 164.49 $ Total Cost 868.88 $ 1,591.76 $ 2,156.88 $ 1,818.93 $ 2,487.37 $ Employee Cost 43.44 $ 79.59 $ 107.84 $ 90.95 $ 124.37 $ Cost to City 825.44 $ 1,512.17 $ 2,049.04 $ 1,727.98 $ 2,363.00 $ Surest + VSP + Kaiser Dental Surest 803.93 $ 1,496.22 $ 1,989.98 $ 1,709.70 $ 2,294.81 $ VSP A (12/12/24) 11.17 $ 13.61 $ 24.29 $ 15.59 $ 28.07 $ Kaiser Dental II 69.25 $ 106.70 $ 200.91 $ 121.93 $ 231.69 $ Total Cost 884.35 $ 1,616.53 $ 2,215.18 $ 1,847.22 $ 2,554.57 $ Employee Cost 44.22 $ 80.83 $ 110.76 $ 92.36 $ 127.73 $ Cost to City 840.13 $ 1,535.70 $ 2,104.42 $ 1,754.86 $ 2,426.84 $ Employee Employee Employee Employee Employee Only + 1 Child + Children + Spouse + Family Kaiser Copay B + Kaiser Vision + Willamette Dental Kaiser Copay B 1,002.60 $ 1,838.96 $ 2,480.39 $ 2,100.89 $ 2,859.80 $ Kaiser Vision 7.18 $ 13.25 $ 17.85 $ 15.14 $ 20.58 $ Willamette Dental A 62.78 $ 95.92 $ 167.33 $ 109.64 $ 193.01 $ Total Cost 1,072.56 $ 1,948.13 $ 2,665.57 $ 2,225.67 $ 3,073.39 $ Employee Cost 53.63 $ 97.41 $ 133.28 $ 111.28 $ 153.67 $ Cost to City 1,018.93 $ 1,850.72 $ 2,532.29 $ 2,114.39 $ 2,919.72 $ Kaiser Copay B + Kaiser Vision + ODS Delta Dental II Kaiser Copay B 1,002.60 $ 1,838.96 $ 2,480.39 $ 2,100.89 $ 2,859.80 $ Kaiser Vision 7.18 $ 13.25 $ 17.85 $ 15.14 $ 20.58 $ ODS Delta Dental II 53.78 $ 81.93 $ 142.61 $ 93.64 $ 164.49 $ Total Cost 1,063.56 $ 1,934.14 $ 2,640.85 $ 2,209.67 $ 3,044.87 $ Employee Cost 53.18 $ 96.71 $ 132.04 $ 110.48 $ 152.24 $ Cost to City 1,010.38 $ 1,837.43 $ 2,508.81 $ 2,099.19 $ 2,892.63 $ Kaiser Copay B + Kaiser Vision + Kaiser Dental Kaiser Copay B 1,002.60 $ 1,838.96 $ 2,480.39 $ 2,100.89 $ 2,859.80 $ Kaiser Vision 7.18 $ 13.25 $ 17.85 $ 15.14 $ 20.58 $ Kaiser Dental II 69.25 $ 106.70 $ 200.91 $ 121.93 $ 231.69 $ Total Cost 1,079.03 $ 1,958.91 $ 2,699.15 $ 2,237.96 $ 3,112.07 $ Employee Cost 53.95 $ 97.95 $ 134.96 $ 111.90 $ 155.60 $ Cost to City 1,025.08 $ 1,860.96 $ 2,564.19 $ 2,126.06 $ 2,956.47 $