1. Paul Extrum-Fernandez Brian Grimmer Andrea Winchester

2. Health Reimbursement Account (HRA) equals Subsidy amount
Individual Plans
Health Reimbursement Account (HRA) equals Subsidy amount
Premiums, Copays, Dental, Vision
Debit card OR Reimbursement Form
Group Insurance Plans
Billed Quarterly by Bop
Subsidy included in the billed amount
Regional Limitations
Retiree Healthcare Options

3. Individual Plan Options with Blue Shield of CA
Medigap Plan
Benefits
Plan A
Basic Medicare Supplement
Plan C
Coverage for Medicare Parts A & B deductibles, copays & coinsurance
Plan D
Coverage for Part A deductibles, copays & coinsurance
Plan F
Coverage for Medicare Parts A & B deductibles, copays & coinsurance.
Includes 100% coverage for Part B excess charge
High Deductible Plan F
Same benefits as Plan F but with a lower monthly rate and $2,240 deductible
Plan F Extra
Same as Regular Plan F with lower deductibles also includes an emergency alert system, hearing aid benefits and some vision benefits
Plan G
Coverage for Medicare Part A deductibles, copays & coinsurance Includes 100% coverage for Part B excess charge
Plan K
Provides coverage for Medicare Part A coinsurance and a portion of Part B coinsurance, plus 50%of Medicare Part A deductible and more. Annual max copay for Plan K is $5,240
Plan N
Same as Plan D but with $20 copay for office visits and $50 copay for ER visits
Individual Plan Options with Blue Shield of CA

4. TOTAL ANNUAL SUBSIDY/HRA
TOTAL ANNUAL SUBSIDY/HRA
CN Years of Service
One Person
Two Persons
20 or more
$3,800
$7,600 19
$3,610
$7,220 18
$3,420
$6,840 17
$3,230
$6,460 16
$3,040
$6,080 15
$2,850
$5,700 14
$2,660
$5,320 13
$2,470
$4,940 12
$2,280
$4,560 11
$2,090
$4,180 10
$1,900
Retiree Subsidy or HRA Amount

5. 2019 Group Plan Benefit Summary
KAISER
UHC
Deductible $0
Co-Pay Max
$1,500
$6,700
Rx Plan Y
Vision
KP & MES
Dental
MetLife
Discount
2019 Group Plan Benefit Summary

6. 2019 Retiree Group Health Insurance Annual Premiums
SUBSIDY
RETIREE COST
Kaiser HMO
Within 30 miles of KP
1 Person
$4,394
$3,800
$594
2 Persons
$8,716
$7,600
$1,116
UnitedHealth Care
(Certain CA Regions)
$6,945
$3,145
$13,890
$6,290
Blue Shield PPO
Outside of CA only
$10,311
$6,511
$20,549
$12,949
2019 Retiree Group Health Insurance Annual Premiums

7. Paul Extrum-Fernandez Brian Grimmer Andrea Winchester