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Appendix H <br /> History of Management/Confidential Retiree Medical Benefits <br /> (Note: See Section 5.2(B)of this Plan for information on increases in premiums.) <br /> HIRED ON OR AFTER JANUARY <br /> HIRED PRIOR TO JANUARY 21,2009 21,2009 <br /> CRITERIA Retire on or after 9/1/96 but prior to <br /> 7/1/09 Retire on or after 7/1/09 New Vesting Schedule <br /> ELIGIBILITY Retire from CaIPERS at time of separation Retire from CaIPERS at time of Retire from CaIPERS at time of separation <br /> from City separation from City from City <br /> Tied to Kaiser 2-party early retiree plan- Tied to 2-party rate of lowest cost Tied to single party rate of lowest cost <br /> PLAN DESIGN no changes to co-payments or plan HMO health plan with increased co- HMO health plan with increased co- <br /> design payments and plan design changes Payments and plan design changes <br /> Service retirement:City pays 4%of the <br /> lowest cost HMO single party rate for each <br /> year of service completed. <br /> Accelerates as follows: <br /> 10 yrs.=75% <br /> 15 yrs.=80% <br /> Service retirement: 20 yrs.=90% <br /> Service retirement: City pays 4%of the lowest cost HMO 25 yrs.=100% <br /> City pays 4%of the Kaiser 2-party rate for 2_party rate for each year of service <br /> each year of service completed. completed. („Employees hired on or after 1/1/2013 are <br /> PERCENTAGE Accelerates as follows: not allowed an accelerated formula under <br /> ALLOTMENT' 10 yrs.=75% Accelerates as follows: PEPRA) <br /> 15 yrs.=8070 10 yrs.=75% <br /> 20 yrs.=90% 15 yrs.=80% Per PEPRA:a public employer shall not <br /> 25 yrs.=100% 20 yrs.=90% provide to managerial,elected or <br /> 25 yrs.=100% appointed officials a vesting schedule for <br /> postretirement health benefits that is <br /> more advantageous than that provided to <br /> other public employees,including <br /> represented employees,of the same <br /> public employer who are in related <br /> retirement membership classifications. <br /> CREDIT FOR <br /> YEARS OF , Eligible to count prior years after five Eligible to count prior years after five <br /> SERVICE WITH years of service with the City of years of service with the City of None,if hired on or after January 1,2009 <br /> PRIOR CALPERS Pleasanton Pleasanton <br /> MUNICIPAL <br /> AGENCIES <br /> Retirees eligible for Parts A&B of Retirees eligible for Parts A&B of <br /> Medicare must apply for benefits to Medicare must apply for benefits to <br /> remain on City group health plans. City is remain on City group health plans. <br /> MEDICARE ' not obligated to contribute a monthly City is not obligated to contribute a None retiree medical benefits terminate <br /> ELIGIBILITY amount in excess of the monthly monthly amount in excess of the at age 65. <br /> premium for Kaiser supplement to monthly premium for lowest cost <br /> Medicare. HMO plan supplement to Medicare. <br /> Years of service: Years of service: Years of service: <br /> 10=20% 18=54% 10=20% 18=54% 10=20% 18=54% <br /> 11=25% 19=57% 11=25% 19=57% 11=25% 19=57% <br /> 12=30% 20=80% 12=30% 20=80% 12=30% 20=80% <br /> , 13=35% 21=84% 13=35% 21=84% 13=35% 21=84% <br /> DISABILITY 14=40% 22=88% 14=40% <br /> RETIREMENT 22=88% 14=4090 22=8890 <br /> 15=45% 23=92% 15=45% 23=92% 15=45% 23=92% <br /> 1111 16=48% 24=96% 16=48% 24=96% 16=48% 24=96% <br /> 17=51% 25+=100% 17=51% 25+=100% 17=51% 25+=100% <br /> Plan Designs remain the same as service Plan Designs remain the same as Plan Designs remain the same as service <br /> retirement/Medicare service retirement/Medicare retirement/Medicare <br /> 6 Percentages based on active employee's contributions for medical benefits. <br /> Page 44 of 44 <br />