2025 Retired
2025 Member Contribution: Early Retired - Not yet age 65 / Not in Medicare
NorCal: Early Retired
| 100/90 | 80/80 | |
|---|---|---|
| YOU ONLY | $6.79 | $257.79 |
| YOU + 1 | $100.48 | $524.48 |
| You + 2 or More | $337.76 | $791.76 |
SoCal: Early Retired
| 100/90 | 80/80 | |
|---|---|---|
| YOU ONLY | $0.00 | $70.45 |
| YOU + 1 | $0.00 | $149.63 |
| You + 2 or More | $0.00 | $287.88 |
2025 State Contribution - Retired Medical Plan
Hired PRIOR to January 1, 2017 – 100/90 Formula
Employee - $1,060 | Employee+1 - $2,039.00 | Family - $2,551.00
Hired AFTER January 1, 2017 – 80/80 Formula
Employee - $809.00 | Employee+1 - $1615.00 | Family - $2,097.00
2025 Member Contribution: Retired - Age 65 with Medicare
NorCal: Age 65 with Medicare
| 100/90 | 80/80 | |
|---|---|---|
| YOU ONLY | $0.00 | $79.09 |
| YOU + 1 | $0.00 | $148.18 |
| You + 2 or More | $0.00 | $269.27 |
SoCal: Age 65 with Medicare
| 100/90 | 80/80 | |
|---|---|---|
| YOU ONLY | $0.00 | $79.09 |
| YOU + 1 | $0.00 | $148.18 |
| You + 2 or More | $0.00 | $269.27 |
2025 State Contribution - Retired Medical Plan+ Medicare
Hired PRIOR to January 1, 2017 – 100/90 Formula
Employee - $1,060 | Employee+1 - $2,039.00 | Family - $2,551.00
Hired AFTER January 1, 2017 – 80/80 Formula
Employee - $377.00 | Employee+1 - $764.00 | Family - $1,099.00
2025 Member Contribution: Combination Plans - Age 65 with Medicare
NorCal: Combo Plan:
Age 65 with Medicare
| Employee in M | 100/90 | 80/80 |
|---|---|---|
| 1 Dependent in B | $0.00 | $764.68 |
| 2+ Dependents in B | $0.00 | $1,179.06 |
| 1 Dependent in M 1+ Dependents in B |
$0.00 | $562.56 |
| Employee in B | 100/90 | 80/80 |
|---|---|---|
| 1 Dependent in M | $0.00 | $758.88 |
| 2+ Dependents in M | $0.00 | $879.97 |
| 1 Dependent in B; 1+ Dependents in M |
$0.00 | $1,173.26 |
SoCal: Combo Plan:
Age 65 with Medicare
| Employee in M | 100/90 | 80/80 |
|---|---|---|
| 1 Dependent in B | $0.00 | $577.27 |
| 2+ Dependents in B | $0.00 | $862.52 |
| 1 Dependent in M 1+ Dependents in B |
$0.00 | $433.43 |
| Employee in B | 100/90 | 80/80 |
|---|---|---|
| 1 Dependent in M | $0.00 | $571.54 |
| 2+ Dependents in M | $0.00 | $692.63 |
| 1 Dependent in B; 1+ Dependents in M |
$0.00 | $856.79 |
2025 State Contribution - Retired Medical Plan+ Medicare Combo
Hired PRIOR to January 1, 2017 – 100/90 Formula
Employee - $1,060 | Employee+1 - $2,039.00 | Family - $2,551.00
Hired AFTER January 1, 2017 – 80/80 Formula
Employee - $377.00 | Employee+1 - $764.00 | Family - $1,099.00
Retired Dental coverage is obtained through CalHR
VSP Retired Standard:
Single = $8.84
Two Party = 12.67
Family = 22.61
VSP Retired Exam Plus:
Single = $1.91
Two Party = 2.62
Family = 4.47