Burbank City Employees Association, AFSCME Local 3143
Public Employees Benefit Trust
Health Insurance Premiums

2008 Contribution Rates L.A. Region
HMO Plans Single 2-Party Family
Health Net HMO $350.00 $701.00 $1,048.00
Health Net Salud $271.00 $524.00 $776.00
Kaiser - HMO $347.00 $687.00 $919.00
PacifiCare $352.00 $713.00 $973.00
PPO Plan Single 2-Party Family
Health Net PPO $475.00 $924.00 $1,470.00

PEBT plans include Landmark Chiro and Acupuncture coverage.

PEBT includes full COBRA Administration at no additional cost.

2007 Contribution Comparison
Los Angeles Aera CalPERS v. PEBT
HMO Plans So. Cal.
CalPers
Los Angeles
PEBT
Mo Addt'l
$ for
CalPERS
Annual Addt'l
$ for
CalPERS
Addtl
% for
CalPERS
Health Net - HMO Blue Shield HN HMO
Single $392.01 $350.00 $42.01 $504.12 12.0%
2-Party $784.02 $701.00 $83.02 $996.24 11.8%
Family $1,019.23 $1,048.00 ($28.77) ($345.24) -2.7%
Health Net - Salud Blue Shield HN Salud
Single $392.01 $271.00 $121.01 $1,452.12 44.7%
2-Party $784.00 $524.00 $260.02 $3,120.24 49.6%
Family $1,019.23 $776.00 $243.23 $2,918.76 31.3%
Kaiser - HMO Kaiser Kaiser
Single $359.30 $347.00 $12.30 $147.60 3.5%
2-Party $718.60 $687.00 $31.60 $379.20 4.6%
Family $934.18 $919.00 $15.18 $182.16 1.7%
PacifiCare Blue Shield PacifiCare
Single $392.01 $352.00 $40.01 $480.12 11.4%
2-Party $784.02 $713.00 $71.02 $852.24 10.0%
Family $1,019.23 $973.00 $46.23 $554.76 4.8%

PPO Plan Los Angeles
Region
CalPERS
PEBT Mo Addt'l
$ for
CalPERS
Annual Addt'l
$ for
CalPERS
Addt'l
% for
CalPERS
Health Net PPO PERS Choice/
Blue Cross
Health Net
Single $449.04 $475.00 ($25.96) ($311.52) -5.5%
2-Party $898.08 $924.00 ($25.92) ($311.04) -2.8%
Family $1,167.50 $1,470.00 ($302.50) ($3,630.00) -20.6%

ALL PEBT HMO plans include Landmark Chiro and Acupuncture coverage. There are 40 combined visits per year with a $10 copay per visit.

PEBT includes full COBRA Administration at no additional cost.