Appendix_H_-_Active_Employee_and_Retiree_Health_Rates.pdf
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- Attached to
- RFP for Claims Administration for the Self-Insured Preferred Provider Organization (PPO) Health Plans
- Solicitation number
- 017-202403-MC
- Issued by
- Orange County, San Francisco City, California
About this file
The document is a 2024 Health Plan Rate Table for the County of Orange, California, detailing health insurance rates for full-time employees, part-time employees, and retirees across multiple health plan options. The rate tables provide comprehensive pricing information for various enrollment statuses, including employee-only, employee with one dependent, and employee with two or more dependents, covering both wellness participation and non-participation scenarios. The plans include Kaiser Choice, Cigna Choice, Cigna Select, WellWise Choice, and Sharewell Choice for active employees, with separate rate tables for retirees not enrolled in Medicare and those enrolled in Medicare.
The rate tables show monthly rates, monthly county costs, and employee biweekly deductions for different health plan options. For full-time employees with wellness participation, rates range from $667.28 to $1,050.84 for employee-only coverage, with corresponding county costs and employee deductions varying by plan. Retiree health plans are further categorized by Medicare enrollment status, offering multiple Medicare Advantage and PPO plans with rates ranging from $189.60 to $3,055.05 depending on the enrollment status and specific plan chosen. The Sharewell Choice plan uniquely offers bi-weekly pay credits instead of deductions, and there's a note that Medicare-eligible retirees must enroll in Medicare Part B and Part A (if available at no cost) to be eligible for County of Orange Medicare Health Plans.
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FULL TIME EMPLOYEES
HEALTH PLAN AND 2024 MONTHLY EMPLOYEE MONTHLY EMPLOYEE
ENROLLMENT STATUS MONTHLY COUNTY BIWEEKLY COUNTY BIWEEKLY
RATE COST DEDUCTION COST DEDUCTION
KAISER CHOICE
EMPLOYEE ONLY $745.84 $673.59 $33.35 $384.59 $166.73
EMPLOYEE / 1 DEPENDENT $1,491.68 $1,130.43 $166.73 $588.55 $416.83
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,110.72 $1,599.55 $235.92 $832.80 $589.81
CIGNA CHOICE
EMPLOYEE ONLY $925.75 $834.01 $42.34 $467.06 $211.70
EMPLOYEE / 1 DEPENDENT $1,829.70 $1,376.41 $209.21 $696.48 $523.02
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,545.88 $1,915.17 $291.10 $969.10 $727.74
CIGNA SELECT
EMPLOYEE ONLY $771.55 $695.09 $35.29 $389.27 $176.44
EMPLOYEE / 1 DEPENDENT $1,524.94 $1,147.08 $174.39 $580.30 $435.98
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,121.83 $1,596.01 $242.69 $807.28 $606.72
WELLWISE CHOICE
EMPLOYEE ONLY $1,050.84 $943.66 $49.47 $514.94 $247.34
EMPLOYEE / 1 DEPENDENT $1,944.05 $1,448.35 $228.79 $704.79 $571.97
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,627.10 $1,957.23 $309.17 $952.41 $772.93
SHAREWELL CHOICE*
EMPLOYEE ONLY $667.28 $742.81 ($34.86) $667.28 $0.00
EMPLOYEE / 1 DEPENDENT $1,167.70 $1,232.88 ($30.08) $698.80 $216.42
EMPLOYEE W/TWO OR MORE DEPENDENTS $1,534.74 $1,588.95 ($25.02) $918.44 $284.44
* County cost includes Sharewell credits (bi-weekly pay credits instead of deductions) (Effective every pay period beginning with pay period 01 2024, 12/15/2023)
2024 EMPLOYEE HEALTH PLAN RATE TABLES
With Wellness Participation
PART TIME EMPLOYEES
HRSKNguyen Stamp
FULL TIME EMPLOYEES
HEALTH PLAN AND 2024 MONTHLY EMPLOYEE MONTHLY EMPLOYEE
ENROLLMENT STATUS MONTHLY COUNTY BIWEEKLY COUNTY BIWEEKLY
RATE COST DEDUCTION COST DEDUCTION
KAISER CHOICE
EMPLOYEE ONLY $745.84 $637.47 $50.02 $348.47 $183.41
EMPLOYEE / 1 DEPENDENT $1,491.68 $1,058.18 $200.08 $516.30 $450.18
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,110.72 $1,497.32 $283.11 $730.56 $637.00
CIGNA CHOICE
EMPLOYEE ONLY $925.75 $788.14 $63.51 $421.19 $232.87
EMPLOYEE / 1 DEPENDENT $1,829.70 $1,285.75 $251.05 $605.83 $564.86
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,545.88 $1,789.02 $349.32 $842.96 $785.96
CIGNA SELECT
EMPLOYEE ONLY $771.55 $656.87 $52.93 $351.04 $194.08
EMPLOYEE / 1 DEPENDENT $1,524.94 $1,071.51 $209.27 $504.73 $470.86
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,121.83 $1,490.84 $291.22 $702.11 $655.25
WELLWISE CHOICE
EMPLOYEE ONLY $1,050.84 $890.07 $74.20 $461.35 $272.07
EMPLOYEE / 1 DEPENDENT $1,944.05 $1,349.21 $274.55 $605.64 $617.73
EMPLOYEE W/TWO OR MORE DEPENDENTS $2,627.10 $1,823.25 $371.01 $818.44 $834.77
SHAREWELL CHOICE*
EMPLOYEE ONLY $667.28 $742.81 ($34.86) $667.28 $0.00
EMPLOYEE / 1 DEPENDENT $1,167.70 $1,232.88 ($30.08) $698.80 $216.42
EMPLOYEE W/TWO OR MORE DEPENDENTS $1,534.74 $1,588.95 ($25.02) $918.44 $284.44
* County cost includes Sharewell credits (bi-weekly pay credits instead of deductions) (Effective every pay period beginning with pay period 01 2024, 12/15/2023)
Without Wellness Participation
PART TIME EMPLOYEES
2024 EMPLOYEE HEALTH PLAN RATE TABLES
HRSKNguyen Stamp
RETIREE Cigna Choice Cigna Select Kaiser Sharewell Wellwise ENROLLMENT STATUS Retiree HMO Retiree HMO Retiree HMO Retiree PPO Retiree PPO
Plan Plan Plan Plan Plan
Retiree Only $1,110.90 $925.86 $894.66 $800.74 $1,261.00 Retiree W/1 Dependent $2,195.64 $1,829.92 $1,789.33 $1,401.24 $2,332.87 Retiree W/2 or More Dependents $3,055.05 $2,546.19 $2,531.86 $1,841.69 $3,152.52
HMO Plans PPO Plans
2024 Retiree Health Plan Rate Table
RETIREES NOT ENROLLED IN MEDICARE
2024 Retiree Health Plan RateTable
RETIREES ENROLLED IN MEDICARE
MEDICARE ADVANTAGE PLANS
PPO Plan HMO Plans PPO Plans
RETIREE Humana Retiree Kaiser SCAN Retiree Sharewell Wellwise Retiree ENROLLMENT STATUS Medicare PPO Sr Advantage HMO Medicare HMO Retiree PPO Medicare PPO
Plan Plan Plan Plan Plan
RETIREE ONLY
Retiree Only - Part B Only $698.15 $497.03 NA $537.23 $810.78 Retiree Only - Part A & B $189.60 $228.00 $275.00 $324.33 $579.69
RETIREE W/1 DEPENDENT
Two W/ Medicare Part B Only $1,396.30 $994.06 NA $1,074.46 $1,621.56 Two W/ Medicare Part A & B $379.20 $456.00 $550.00 $648.66 $1,159.38
RETIREE W/2 DEPENDENTS
Three W/ Medicare Part B Only $2,094.45 $1,491.09 NA $1,611.69 $2,432.34 Three W/ Medicare Part A & B $568.80 $684.00 $825.00 $972.99 $1,739.07
NOTE: To be eligible for County of Orange Medicare Health Plans, retirees and/or their dependents age 65 or older must enroll in Medicare Part B. Retirees and/or dependents also must enroll in Medicare Part A if available at no cost. Evidence of Medicare coverage is required to be submitted upon County's request.
| 03a_2024 Active Employee Rate Table.pdf |
| 03b_2024 Non-Medicare Retiree Rate Table.pdf |
| 03c_2024 Medicare Retiree Rate Table.pdf |
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