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EMPLOYEE RATE SHEET
BIWEEKLY PREMIUMS
The County oers a series of health coverage opons. Choosing a health coverage opon is an important decision. To
help you make an informed choice, your plan makes available a Summary of Benets and Coverage (SBC), which
summarizes important informaon about any health coverage opon in a standard format, to help you compare opons.
The SBC is available on the web at www.co.fresno.ca.us/summarybenets. A paper copy is also available, free of charge,
by calling Employee Benets at (559) 600-1810.
| PLAN YEAR 2017
On December 6, 2016, the Board of Supervisors approved the biweekly County contribuon toward the full-me biweekly
health insurance premiums for employees in Bargaining Units 2, 3, 4, 7, 10, 11, 12, 13, 19, 22, 25, 30, 31, 36, 39, 40, 42
and 43 as well as Management, Senior Management, and Unrepresented employees. The approved full-me biweekly
contribuon amounts for employees in these bargaining units are $283 per pay period for employee only coverage, $378
for employee plus spouse or employee plus child(ren) coverage, and $383 for employee plus family coverage, eecve
December 19, 2016.*
PLAN 1 PLAN 2 PLAN 3
Medical/Mental Health
Kaiser Permanente
HMO
Anthem Blue Cross
HMO
Anthem Blue Cross
PPO $250
Prescripon Kaiser Permanente US Script/Envolve US Script/Envolve
Vision Kaiser Permanente Vision Service Plan (VSP) Vision Service Plan (VSP)
Dental Plans Delta Dental
DPPO or
DeltaCare
USA DHMO
Delta Dental
DPPO or
DeltaCare
USA DHMO
Delta Dental
DPPO or
DeltaCare
USA DHMO
EMPLOYEE COST EMPLOYEE COST EMPLOYEE COST
Employee Only
$98.64
$86.99
$113.97
$102.32
$210.90
$199.25
Employee + Spouse
$291.17
$273.99
$317.88
$300.70
$642.17
$624.99
Employee + Child(ren)
$213.56
$201.28
$237.13
$224.85
$546.06
$533.78
Employee + Family $495.56 $477.00 $530.50 $511.94 $1,020.86 $1,002.30
PLAN 4 PLAN 5 PLAN 6
Medical/Mental Health
Anthem Blue Cross
PPO $1000
Anthem Blue Cross
HDPPO $1500
Anthem Blue Cross
HDPPO $3000
Prescripon US Script/Envolve Anthem Blue Cross Anthem Blue Cross
Vision Vision Service Plan (VSP) Vision Service Plan (VSP) Vision Service Plan (VSP)
Dental Plans Delta Dental
DPPO or
DeltaCare
USA DHMO
Delta Dental
DPPO or
DeltaCare
USA DHMO
Delta Dental
DPPO or
DeltaCare
USA DHMO
EMPLOYEE COST EMPLOYEE COST EMPLOYEE COST
Employee Only
$91.83
$80.18
$59.74
$48.09
$2.84
$0.00
Employee + Spouse
$392.22
$375.04
$324.86
$307.68
$210.24
$193.06
Employee + Child(ren)
$319.61
$307.33
$258.58
$246.30
$149.65
$137.37
Employee + Family $675.55 $656.99 $582.49 $563.93 $415.93 $397.37
How to use this chart: First, choose your medical/mental health plan. Next, choose your dental plan from the corre-
sponding plan column of your choice. Last, choose the corresponding level of coverage that best meets your needs
(employee only, plus spouse, children, or family) to determine your biweekly premium.
*These rates do not apply to part-me employees who are eligible for health insurance. For a copy of part-me rates, please visit the Open Enrollment
website at www.co.fresno.ca.us/openenrollment or call Employee Benets at (559) 600-1810.