2019 Active Employees' Medical & Dental Plan Rates 

Plan Rates in effect from January 1, 2019 through December 31, 2019
Union/Association or Management
Resolution
Full Time/Part Time more than 20 hours per week Part Time Less than 20
hours per week
Permanent
Intermittent (PI)
Temporary COBRA
AFSCME, LOCAL 512
Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hrs (PDF) PI (PDF) Temp (PDF)
COBRA (PDF)
AFSCME, LOCAL 2700 Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hrs (PDF) PI (PDF)
Temp (PDF)
COBRA (PDF)
CALIFORNIA NURSES
ASSOCIATION
Full Time/Part Time more than 16 hours (PDF)

N/A PI (PDF)
L3 & LT (PDF)


COBRA (PDF)
CCC DEFENDERS ASSOCIATION
Full Time/Part Time more than 20 hours (PDF)

Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)

COBRA (PDF)
DEPUTY DISTRICT ATTORNEYS'
ASSOCIATION
Full Time/Part Time more than 20 hours (PDF) Part Time more than 20 hours (PDF) PI (PDF)
Temp (PDF)

COBRA (PDF)
DSA (Probation)
Full Time/Part Time more than 20 hours (PDF)
Part Time less than 20 hours (PDF)
PI (PDF)
Temp (PDF)
COBRA (PDF)
FIRST 5
Full Time/Part Time less than 20 hours (PDF)

Part Time less than 20 hours (PDF)
PI (PDF)

N/A

COBRA (PDF)
IN HOME SUPPORTIVE
SERVICES
Full Time/Part Time more than 20 hours (PDF)

Part Time less than 20 hours (PDF)
PI (PDF)
Temp (PDF)

COBRA (PDF)
LAFCO Full Time/Part Time more than 20 hours (PDF)

N/A N/A N/A

COBRA (PDF)
MANAGEMENT RESOLUTION/
ELECTED OFFICIALS
Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)
COBRA (PDF)
PEU LOCAL 1
Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)
COBRA (PDF)
PHYSICIAN AND DENTIST'S
ORGANIZATION
Full Time/Part Time more than 20 hours (PDF)

Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)

COBRA (PDF)
PROFESSIONAL & TECHNICAL
ENGINEERS (LOCAL 21, AFL-CIO)
Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)
COBRA (PDF)
SEIU, LOCAL 1021 Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)
COBRA (PDF)
TEAMSTERS LOCAL UNION
NO 856
Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)
COBRA (PDF)
WESTERN COUNCIL OF
ENGINEERS
Full Time/Part Time less than 20 hours (PDF)

Part Time less than 20 hours (PDF) PI (PDF)
Temp (PDF)

COBRA (PDF)