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06
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2023
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100323 SPECIAL
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10/2/2023 5:19:11 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
10/3/2023
DESTRUCT DATE
15Y
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16 <br /> <br />All employees participating in the City’s health plans will contribute one of the following two <br />amounts, whichever is greater: <br /> <br />1. $25.00 per month <br />2. The difference between the family rate of the lowest cost HMO and the premium of <br />the employee’s more expensive plan selection. <br /> <br />Contributions will be deducted from the employee’s paycheck on a pre-tax and bi-weekly basis. <br /> <br />Effective January 2019, all employees participating in the City’s health plans will contribute <br />one of the following amounts, whichever is greater: <br /> <br />1. $25.00 per month for employee only coverage; $25.00 per month for employee +1 <br />coverage; or $50 per month for family coverage <br />2. The difference between the family rate of the lowest cost HMO and the premium of <br />the employee’s more expensive plan selection. <br /> <br />Contributions will be deducted from the employee’s paycheck on a pre-tax and bi-weekly basis. <br /> <br />B. Plan Co-Pays <br />The health maintenance organization (HMO) medical plans co-pays shall be ten dollars ($10) <br />for office visits. The prescription drug co-pays shall be ten dollars ($10) for generic, fifteen <br />dollars ($15) for brand and thirty-five dollars ($35) for non-formulary (the Kaiser HMO <br />provides for a two-tier prescription drug plan). The Point of Service (POS) medical plan co- <br />pays shall be fifteen dollars ($15) for office visits. The prescription drug co-pays shall be ten <br />dollars ($10) for generic, twenty-five ($25) for brand and thirty-five dollars ($35) for non- <br />formulary. <br /> <br />C. Increases in Premiums <br />During the term of this agreement, the City will pay for any increase in the medical plan <br />premiums up to a maximum of 15% of the lowest cost HMO family rate. The difference will be <br />deducted from the employee’s paycheck on a pre-tax basis. <br />In the event that the medical premium increase is less than 15%, the City’s sole obligation is to <br />pay the lower percentage increase. <br /> <br />D. Changes to Plan Designs <br />During the term of this Agreement, the City reserves the right to propose changes to the plan <br />designs and co-pay structure in order to reduce costs to the City and employees. Changes to <br />plan design shall be by mutual agreement. <br /> <br />14.2 Hospital and Medical - Retired Employees <br /> <br />A. Federal or State Legislation <br /> Plan Design <br />The City reserves the right to meet and confer with the Association for the purposes of <br />coordinating retired employees hospital and medical care in the event Federal or State <br />legislation is implemented that effects retiree's medical insurance. <br /> <br />B. Benefits for Medicare Eligible Retirees
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