2020 Retiree Medical and Dental Plan Rates

The following rates are for January 1, 2020 through December 31, 2020.

Medical and Dental Plans

RSG Settlement Class Retired On or Before 12/31/15
(Excluding PDOCC, CNA, First Five and LAFCO)
Retiree(PDF)
Survivor (PDF)
COBRA (PDF)
RSG Settlement Class Opt-out Retired On or Before 12/31/15
(Excluding PDOCC, CNA, First Five and LAFCO)
Retiree (PDF)
Survivor (PDF)
COBRA (PDF)
Retired On or After 1/1/16
(Excluding PDOCC, CNA, First Five and LAFCO)
Retiree (PDF)
Survivor (PDF)
COBRA (PDF)
PDOCC - All Retirees

Retiree (PDF)
Survivor (PDF)
COBRA (PDF)
CNA - Retired On or Before 6/30/12

Retiree (PDF)
Survivor (PDF)
COBRA (PDF)
CNA - Retired On or After 7/1/12

Retiree (PDF)
Survivor (PDF)
COBRA (PDF)
First Five

Retiree (PDF)
Survivor (PDF)
COBRA (PDF)
LAFCO Retiree(PDF)
Survivor(PDF) COBRA (PDF)