MEDICAL PLAN RATES					HEALTH CARE PROFESSIONALS
FOR CALENDAR YEAR 2009
Effective:	January 1, 2009 through December 31, 2009
			2008	EE MONTHLY COSTS				EE
	Plan	Monthly	County	EE	EE	Total		PAY PERIOD
	Code	Premium	Contribution	Cost	Cost	EE		COST
				For Plan	Admin	Cost
					0.45% of premium
BLUE SHIELD ACCESS (EXT) HMO
EE	3011	560.57	404.23	156.34	2.52	158.86		79.43
EE +1	3012	1,121.14	638.25	482.89	5.05	487.94		243.97
EE +2	3013	1,457.48	829.73	627.75	6.56	634.31		317.15
BLUE SHIELD HPN HMO (Not currently available in Santa Cruz County)
EE	0601	495.50	404.23	91.27	2.23	93.50		46.75
EE +1	0602	991.00	638.25	352.75	4.46	357.21		178.60
EE +2	0603	1,288.30	829.73	458.57	5.80	464.37		232.18
KAISER (San Jose & SF Bay Area Residents Only)
EE	3051	508.30	404.23	104.07	2.29	106.36		53.18
EE +1	3052	1,016.60	638.25	378.35	4.57	382.92		191.46
EE +2	3053	1,321.58	829.73	491.85	5.95	497.80		248.90
PERSCARE
EE	3251	749.83	404.23	345.60	3.37	348.97		174.49
EE +1	3252	1,499.66	638.25	861.41	6.75	868.16		434.08
EE +2	3253	1,949.56	829.73	1,119.83	8.77	1,128.60		564.30
PERS CHOICE
EE	3201	482.48	404.23	78.25	2.17	80.42		40.21
EE +1	3202	964.96	638.25	326.71	4.34	331.05		165.53
EE +2	3203	1,254.45	829.73	424.72	5.65	430.37		215.18
PERS SELECT (Check Provider Directory)
EE	0721	453.16	404.23	48.93	2.04	50.97		25.48
EE +1	0722	906.32	638.25	268.07	4.08	272.15		136.07
EE +2	0723	1,178.22	829.73	348.49	5.30	353.79		176.90
DELTA PREFERRED OPTION (DPO) PLUS DENTAL COVERAGE
EE+1 OR MORE DEPENDENTS
ONE FULL YEAR OF ENROLLMENT REQUIRED						48.00		24.00
VISION SERVICE PLAN
1 OR MORE DEPENDENTS
ONE FULL YEAR OF ENROLLMENT REQUIRED						18.01		9.01
				ACTIVE		RETIREE
EE = employee only				404.23		327.21
EE+1 = employee plus one dependent				638.25		388.41
EE+2 = employee plus two or more dependents				829.73		454.49