Retirees

Health and Wellness

Supplemental Medical Plans to Medicare: United American or Kaiser Permanente Senior Advantage Benefit Summaries

  1. Kaiser Permanente Senior Advantage Benefits Summary with Part D - CA Only (PDF)
  2. Kaiser Permanente Senior Advantage Group Plan with Part D Summary of Benefits - CA Only (PDF)
  3. REMIF - United American Benefits Summary (PDF)

Supplemental Medical Plan Rates (United American & Kaiser Permanente Senior Advantage)

  1. Retired After June 30 2009 (PDF)
  2. Retired Before July 1 2009 - Formula is 50% of 100% of Lowest Cost Plan (PDF)
  3. Retired Before July 1 2009 - Formula is 50% of the Premium (PDF)
  4. Retired Before July 1 2009 - Supplemental Medical Plan (PDF)

Split Plan Rates: 1 member enrolled in a Supplemental Medical Plan & 1 member enrolled in a Retiree Medical Plan under age 65

  1. Retired After June 30 2009 - Split Plan Rates with $500 Credit (PDF)
  2. Retired After June 30 2009 - Supplemental Medical Plan Split Rates (PDF)
  3. Retired Before July 1 2009 - Formula is 50% of Actual City Premium (PDF)

Medical Retiree Rate Plans Under Age 65: Kaiser, REMIF, Sutter

  1. Active Employee Rates and Retiree Rates after June 30 2009 (PDF)
  2. Retired After June 30 2009 - Formula Is 50% of 80% of Lowest Cost Plan (PDF)
  3. Retired After June 30 2009 - Retirees Under Age 65 - Frozen City Contribution Rates (PDF)
  4. Retired After June 30 2009 (PDF)
  5. Retired Before July 1 2009 - Formula is 50% of 100% of Lowest Cost Plan (PDF)
  6. Retired Before July 1 2009 (PDF)

Premiums have increased for the Plan year. Your cost is based on the plan / formula that you retired under per your MOA. If you are unsure which rate plan you fall under, please email us or call 707-588-2215.

Kaiser Health Plans

  1. High Deductible Health Plan - Health Savings Account (PDF)
  2. HMO Plan - Understanding Your Costs: Copay or Coinsurance (PDF)
  3. Kaiser $20 Benefits Summary (PDF)
  4. Kaiser $40 Benefits Summary (PDF)
  5. Kaiser Chiropractic Services (only for the $20 and $40 Plans) (PDF)
  6. Kaiser HDHP HSA $1600 Benefits Summary (PDF)

REMIF (Anthem BlueCross) Health Plans

  1. Anthem BlueCross Network - Find a Doctor (Instructions) (PDF)
  2. Express Scripts - Pharmacy Benefits (PDF)
  3. REMIF (Anthem BlueCross) BLUECARD PPO 250 (PDF)
  4. REMIF (Anthem BlueCross) EPO 250 (PDF)
  5. REMIF (Anthem BlueCross) EPO 500 (PDF)
  6. REMIF (Anthem BlueCross) HDHP - HSA 1600 (PDF)
  7. REMIF (Anthem BlueCross) PPO 500 (PDF)

Sutter Health Plans

  1. Sutter $25 ML79 HMO Benefits Summary (PDF)
  2. Sutter $500 ML85 HMO Benefits Summary (PDF)
  3. Sutter Chiropractic and Acupuncture Schedule of Benefits (PDF)
  4. Sutter HDHP HSA $1600 HD27 Benefits Summary (PDF)
  5. Sutter Health Plus - Great Coverage Guide (PDF)

Delta Dental & Vision

  1. Delta Dental - New Value Added Features (PDF)
  2. Delta Dental PPO 02654 (PDF)
  3. Delta Dental PPO 02654 Benefit Summary - Retirees Pre-August 1 2011 (PDF)
  4. Delta Dental PPO 02654 Benefits Summary - Management Retired Pre-August 1 2011 (PDF)
  5. VSP Exclusive Member Extras (PDF)
  6. VSP Member Benefit Summary (PDF)
  7. VSP Member Benefit Summary (Retirees ) (PDF)