Active Employees – Additional Benefit Clause Samples
Active Employees – Additional Benefit. The amount of the City’s additional contribution for current employees and their covered family members shall be equal to the insurance premium of the City’s designated baseline medical program for employee only, employee plus one, and employee plus two or more. These amounts do not include the City’s PEMCHA contribution identified in 27.
1. The City’s additional contribution shall not exceed these amounts unless and until a different amount is negotiated by the parties. Effective January 1, 2021, the City shall pay an additional benefit that depends upon the actual percentage increase in the Kaiser – Bay Area premium. The City’s additional benefit contribution for 2021 shall be up to a 9% increase of the 2020 Health Plan Rate less the City’s PEMHCA contribution, multiplied by ninety-five percent (95%), or an amount equal to the actual 2021 CalPERS Health Premium for Kaiser - Bay Area, less the City’s PEMHCA contribution, times ninety-five percent (95%) for current employees and their covered family members, whichever is less. If the percentage increase is greater than 9%, the City and the employee shall share the amount above 9%, with the City paying 50% of the amount above 9% and the employee paying 50% of the amount above 9%. For example, effective January 1, 2021, the monthly premium at the Kaiser rate for single health benefit coverage is $813.64 and the PEMHCA rate is $143.00. The additional benefit is calculated at $813.64 less $143.00 multiplied by 95% = $637.11. The employee contribution is $33.53 ($813.64 - $143.00 - $637.11= $33.53). The 2022 CalPERS premium for Kaiser – Region 1 and required 2022 PEMHCA contribution are unknown. Effective January 1, 2022, the City shall pay the additional benefit that depends upon the actual percentage increase in the Kaiser – Region 1 premium. The City’s benefit contribution for 2022 shall be equal to the actual 2022 CalPERS Health premium for Kaiser – Region 1, less the City’s PEMHCA contribution, multiplied by ninety-five percent (95%) for current employees and their covered family members. If the percentage increase is greater than 9%, the City and the employee shall share the amount above 9%, with the City paying 50% of the amount above 9% and the employee paying 50% of the amount above 9%. The 2023 CalPERS premium for Kaiser – Region 1 and required 2023 PEMHCA contribution are unknown. Effective January 1, 2023, the City shall pay the additional benefit that depends upon the actual percentage increase in ...
Active Employees – Additional Benefit. The amount of the City’s additional contribution for current employees and their covered family members shall be equal to the insurance premium of the City’s designated baseline medical program for employee only, employee plus one, and employee plus two or more. These amounts do not include the City’s PEMCHA contribution identified in 27.
1. The City’s additional contribution shall not exceed these amounts unless and until a different amount is negotiated by the parties. Effective January 1, 2021, the City shall pay an additional benefit that depends upon the actual percentage increase in the Kaiser – Bay Area premium. The City’s additional benefit contribution for 2021 shall be up to a 9% increase of the 2020 Health Plan Rate less the City’s PEMHCA contribution, multiplied by ninety-five percent (95%), or an amount equal to the actual 2021 CalPERS Health Premium for Kaiser - Bay Area, less the City’s PEMHCA contribution, times ninety-five percent (95%) for current employees and their covered family members, whichever is less. If the percentage increase is greater than 9%, the City and the employee shall share the amount above 9%, with the City paying 50% of the amount above 9% and the employee paying 50% of the amount above 9%. For example, effective January 1, 2021, the monthly premium at the Kaiser rate for single health benefit coverage is $813.64 and the PEMHCA rate is $143.00. The additional benefit is calculated at $813.64 less $143.00 multiplied by 95% = $637.11. The employee contribution is $33.53 ($813.64 - $143.00 - $637.11= $33.53). The 2022 CalPERS premium for Kaiser – Region 1 and required 2022 PEMHCA contribution are unknown. Effective January 1, 2022, the City shall pay the additional benefit that depends upon the actual percentage increase in the Kaiser – Region 1 premium. The City’s benefit contribution for 2022 shall be equal to the actual 2022 CalPERS Health premium for Kaiser – Region 1, less the City’s PEMHCA contribution, multiplied by ninety-five percent (95%) for current employees and their covered family members. If the percentage increase is greater than 9%, the City and the employee shall share the amount above 9%, with the City paying 50% of the amount above 9% and the employee paying 50% of the amount above 9%. The 2023 CalPERS premium for Kaiser – Region 1 and required 2023 PEMHCA contribution are unknown. Effective January 1, 2023, the City shall pay the additional benefit that depends upon the actual percentage increase in ...
Active Employees – Additional Benefit. Effective January 1, 2023, the City shall pay an additional benefit that depends upon the actual percentage increase in the Kaiser – Region 1 premium. The City’s additional benefit contribution for 2023 shall be up to a 9% increase of the 2022 Health Plan Rate less the City’s PEMHCA contribution, multiplied by 95%, or an amount equal to the actual 2023 CalPERS Health Premium for Kaiser- Region 1, less the City’s PEMHCA contribution, multiplied by ninety-five percent (95%) for current employees and their covered family members, whichever is less. If the percentage increase is greater than 9%, the City and the employee shall share the amount above 9%, with the City paying 50% of the amount above 9% and the employee paying 50% of the amount above 9%. For example, effective January 1, 2023, the monthly premium at the Kaiser rate for single health benefit coverage was $913.74 and the PEMHCA rate was $151.00. The additional benefit was calculated at $913.74 less $151.00 multiplied by 95% = $724.60. The employee contribution is $38.14 ($913.74 - $151.00 - $724.60= $38.14). The 2024 monthly premium at the Kaiser rate for single health benefit coverage is $1,021.41 and the PEMHCA rate is $157.00. Because the Kaiser premium increased by more than 9%, the additional benefit is $809.75, which takes into account the shared cost of the amount above the 9% rate cap. The employee contribution is $54.66. The 2025 CalPERS premium for Kaiser – Region 1 and required 2025 PEMHCA contribution are unknown. Effective January 1, 2025, the City shall pay the additional benefit that depends upon the actual percentage increase in the Kaiser – Region 1 premium. The City’s benefit contribution for 2025 shall be equal to the actual 2025 CalPERS Health premium for Kaiser – Region 1, less the City’s PEMHCA contribution, multiplied by ninety-five percent (95%) for current employees and their covered family members. If the percentage increase is greater than 9%, the City and the employee shall share the amount above 9%, with the City paying 50% of the amount above 9% and the employee paying 50% of the amount above 9%. The 2026 CalPERS premium for Kaiser – Region 1 and required 2026 PEMHCA contribution are unknown. Effective January 1, 2026, the City shall pay the additional benefit that depends upon the actual percentage increase in the Kaiser – Region 1 premium. The City’s benefit contribution for 2026 shall be equal to the actual 2026 CalPERS Health premium for Kaiser – Region 1, less the...