Health Plans	1 PARTY (Employee only)	2 PARTY (Employee + 1 dependent)	3 PARTY (Employee + 2 or more dependents)
Blue Shield HMO	$517.09	$1,034.18	$1,344.43
Blue Shield NetValue	$447.82	$895.64	$1,164.33
Kaiser	$494.99	$989.98	$1,286.97
Kaiser Out-of-State	$724.69	$1,449.38	$1,884.19
PERS Choice (PPO)	$487.25	$974.50	$1,266.85
PERSCare (PPO)	$831.50	$1,663.00	$2,161.90
PERS Select	$454.87	$909.74	$1,182.66
PORAC	$484.00	$906.00	$1,151.00
CAHP	$458.96	$887.10	$1,159.22
CCPOA (unsubsidized)
(Regional No. Cal.-HMO)	$478.77	$958.45	$1,293.62
(Regional So. Cal.-HMO)	$394.98	$790.85	$1,068.26

Dental Plans	1 PARTY (Employee only)	2 PARTY (Employee + 1 dependent)	3 PARTY (Employee + 2 or more dependents)
Delta Dental Plans
Delta Dental Premier (Basic)*	$51.87	$92.08	$134.00
Delta Dental Premier (Enhanced)**	$54.04	$108.32	$152.97
Delta PPO	$44.07	$87.23	$132.08
Pre-Paid Dental Plans
SafeGuard (Standard)*	$16.58	$26.86	$37.62
SafeGuard (Enhanced)**	$16.92	$26.83	$35.27
DeltaCare USA	$17.35	$28.47	$39.38

* Available to represented employees.
** Available to excluded employees.

Vision Plan	1 PARTY (Employee only)	2 PARTY (Employee + 1 dependent)	3 PARTY (Employee + 2 or more dependents)
Vision Service Plan	$9.19	$9.19	$9.19

***For further information on CAHP plan premiums, CAHP members please contact the CAHP directly. Health plan rates shown are subsidized rates for supervisory (S05) or managerial (M05) employees enrolled in the CAHP HBT Prudent Buyer Basic Plan. Return to Consolidated Benefits