State of California M E M O R A N D U M REFERENCE CODE: 2004-045 DATE: September 1, 2004 TO: Employee Relations Officers Personnel Officers FROM: Department of Personnel Administration Benefits Division SUBJECT: 2005 Employer Health Benefit Contributions CONTACT: Nancy Hollins, Health Policy Advisor (916) 324-3438, CALNET 8-454-3438 FAX: (916) 322-3769 Email: nancyhollins@dpa.ca.gov Effective January 1, 2005, the monthly employer contributions for health benefits for those units that have reached collective bargaining agreements with the State are as follows: Units 1,4,9,10,11,14,15,20,21 (Rank-and-File, Non-CoBen) Employee $284 Employee plus 1 dependent $564 Employee plus 2 or more dependents $728 Units 8,16,17,19 (Rank-and-File CoBen Allowance) Employee $327 Employee plus 1 dependent $633 Employee plus 2 or more dependents $824 Unit 5* Employee $289 Employee plus 1 dependent $573 Employee plus 2 or more dependents $740 *Bargaining Unit 5 will allocate a portion of the 2005 dental contribution to increase the employer share for health benefits. Unit 6 Employee $212.69 Employee plus 1 dependent $461.69 Employee plus 2 or more dependents $625.69 Excluded Employees (CoBen) Employee $328 Employee plus 1 dependent $643 Employee plus 2 dependents $836 The following bargaining units have expired contracts and the employer health benefit contributions will remain as follows, until further notice: Units 3,12,13 (Rank-and-File, Non-CoBen - Expired Contracts) Employee $226 Employee plus 1 dependent $450 Employee plus 2 or more dependents $589 Units 2,7,18 (Rank-and-File CoBen Allowance - Expired Contracts) Employee $266 Employee plus 1 dependent $515 Employee plus 2 or more dependents $679 If you have questions regarding the information provided above please contact Nancy Hollins at (916) 324-3438. Sincerely, Debbie Endsley, Chief Benefits Division