City of Rohnert Park

HEALTH BENEFITS INFORMATION:
Supplemental Medical Plans to Medicare - Transamerica or Kaiser Permanente Senior Advantage Benefit Summaries:

• Kaiser Permanente Senior Advantage Benefits Summary
• REMIF Transamerica Supplemental Medical Plan to Medicare - Benefits Summary

Supplemental Medical Plans (to Medicare) REMIF and Kaiser Permanente Senior Advantage Rates:

• Retired before 07.01.09
• Retired after 06.30.09 
• Retired before 07.01.09 Formula is 50 percent of the Premium 
• Retired before 07.01.09 - Supplemental Plans Formula is 50 percent of 100 percent of Lowest Cost Plan
• Retired before 07.01.09 -Supplemental Plans Formula is 50 percent of 80 percent of Lowest Cost Plan 

Split Plan Rates - 1 member enrolled in a Supplemental Medical Plan + 1 member (or REMIF HDHP HSA family) enrolled in a Retiree Medical Plan

• Retired after 06.30.09 
• Retired after 06.30.09 - with $500 credit
• Retired after 60.30.09, retirees under age 65 - Formula is 75 percent of 80 percent of Lowest Cost Plan
• Retired after 60.30.09, retirees under age 65 - Formula is 50 percent of 80 percent of Lowest Cost Plan
• Retired before 07.01.09 Supplemental Medical Plan (Medicare) and Medical Plan Split rates
• Retired before 07.01.09 - Formula is 50 percent of Actual City Premium
• Retired before 07.01.09 Formula is 50 percent of the Premium

Medical Retiree Rate Plans - Kaiser, REMIF, Sutter. 

• Active Rates and Retiree Rates after 6.30.09
• Retired before 07.01.09
• Retired before 07.01.09 retirees under age 65 - Formula is 50 percent of 100 percent of Lowest Cost Plan
• Retired after 6.30.09, retirees under age 65
• Retired after 06.30.09, with $500 Credit
• Retired after 06.30.09,  Frozen City Contribution Rates
• Retired after 60.30.09, Formula is 50 percent of 80 percent of Lowest Cost Plan

Premiums have increased for the Plan year.  Your cost is based on the plan/formula that you retired under per your MOA. 
If you are unsure which rate plan you fall under, please email [email protected] or call (707) 588-2215

Kaiser Health Plans:

HMO Plan - Understanding your costs; copay or coinsurance

• Kaiser $20 Benefits Summary
• Kaiser $40 Benefits Summary
• Kaiser Chiropractic Services (only for the $20 and $40 Plans)

High Deductible Health Plan - Health Savings Account - Understanding your costs

• Kaiser HDHP HSA $1650 Benefits Summary

REMIF (Anthem BlueCross) Health Plans:
Anthem BlueCross Network - Find a Doctor (Instructions)
REMIF (Anthem BlueCross) Health Plans Grid

• REMIF (Anthem Blue Cross) BLUECARD PPO 250 Benefits Summary (Outside of CA)
• REMIF (Anthem Blue Cross) EPO 250 Benefits Summary
• REMIF (Anthem Blue Cross) EPO 500 Benefits Summary
• REMIF (Anthem Blue Cross) PPO 500 Benefits Summary
• REMIF (Anthem Blue Cross) HDHP HSA $1650 Benefits Summary
• Express Scripts - Pharmacy Benefits

Sutter Health Plans:
Sutter Health Plans Great Coverage Book

• Sutter Health$25 LG02 (was ML79) Benefits Summary
• Sutter Health $500 LG08 (was ML85) Benefits Summary
• Sutter Health $1650 HDHP HSA HD41 (was HD34) Benefits Summary
• Chiropractic and Acupuncture Schedule of Benefits (only for $25 LG02 and $500 LG08 HMO plans)
  

Delta Dental and Vision 

• Group ID 22930 (Retirees) post 8.1.2011
• Group ID 22930 (Non-Management Retirees) pre 8.1.2011
• Group ID 22930 (Management Retirees) Pre 8.1.2011
• Accessing your Delta Dental PPO ID Cards 
• Delta Dental - New Value Added Features

• VSP Member Benefit Summary (Retirees) post 8.1.2011
• VSP Member Benefit Summary  Retirees) pre 8.1.2011
• VSP Exclusive Member Extras