| MEDICAL PLANS | |||||
| 2009 PREMIUM RATES FOR BAY AREA/SACRAMENTO REGION | |||||
| Effective: January 1, 2008 - December 31, 2008 | |||||
| Plan Name | Plan | Plan | Premium | CAP | Out/Pock. |
| Code | Description | $/Month | |||
| Blue Shield Access+ HMO | 3011 | Single | 532.93 | 532.93 | $ - |
| MBS | 3012 | 2-Party | 1,065.86 | 901.34 | $ 164.52 |
| 3013 | Family | 1,385.62 | 1,183.74 | $ 201.88 | |
| Kaiser Permanente HMO | 3051 | Single | 470.67 | 470.67 | $ - |
| MKN | 3052 | 2-Party | 941.34 | 901.34 | $ 40.00 |
| 3053 | Family | 1,223.74 | 1,183.74 | $ 40.00 | |
| PERS Choice PPO | 3201 | Single | 482.48 | 482.48 | $ - |
| MCH | 3202 | 2-Party | 964.96 | 901.34 | $ 63.62 |
| 3203 | Family | 1,254.45 | 1,183.74 | $ 70.71 | |
| PERS Select PPO (New) | 0721 | Single | 467.18 | 467.18 | $ - |
| MPS | 0722 | 2-Party | 934.36 | 901.34 | $ 33.02 |
| 0723 | Family | 1,214.67 | 1,183.74 | $ 30.93 | |
| PERS Care PPO | 3251 | Single | 749.83 | 604.00 | $ 145.83 |
| MPC | 3252 | 2-Party | 1,499.66 | 901.34 | $ 598.32 |
| 3253 | Family | 1,949.56 | 1,183.74 | $ 765.82 | |
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