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["Health Rates"]
[""]
["Standard Rates"]
[""]
["Rate Details"]
["Rate Id","152"]
[" Rate Name","2013 EAP"]
[" Start Date","01/01/2013"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 388"]
[" Sub Rate Name"," EAP 2013"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,2.04,0,0,2.04,0,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","193"]
[" Rate Name","2016 - Kaiser BRONZE"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 515"]
[" Sub Rate Name"," Kaiser PT + Admin Fee"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",268.22,0,134.1,0,0,134.12,0,0,0,0]
["Employee + 1 Child","4",509.61,0,134.09,0,0,375.52,0,0,0,0]
["Employee + Spouse","5",509.61,0,134.09,0,0,375.52,0,0,0,0]
["Employee + 2+ Children","6",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Spouse + 1 Child","7",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Spouse + 2+Children","8",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner","9",509.61,0,134.09,0,0,375.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner + Children","11",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Child + DP Children","16",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","194"]
[" Rate Name","2016 Blue Shield HMO"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 519"]
[" Sub Rate Name"," HMO - Commssioner-Sr Citizen"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,0,0,0,684.91,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Spouse","5",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 516"]
[" Sub Rate Name"," HMO - FT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,684.91,0,0,0,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,1438.91,0,0,0,0,0,0,0]
["Employee + Spouse","5",1438.91,0,1438.91,0,0,0,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,1438.91,0,0,0,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 517"]
[" Sub Rate Name"," HMO - PT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,0,342.45,0,342.46,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,0,342.45,0,1096.46,0,0,0,0]
["Employee + Spouse","5",1438.91,0,0,342.45,0,1096.46,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,0,342.45,0,1096.46,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 518"]
[" Sub Rate Name"," HMO - Retiree"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,0,0,0,684.91,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Spouse","5",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","195"]
[" Rate Name","2016 Blue Shield HMO COBRA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 520"]
[" Sub Rate Name"," Blue Shield HMO COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,698.61,0,0,0,0,698.61,0,0,0]
["Employee + 1 Child","4",0,1467.69,0,0,0,0,1467.69,0,0,0]
["Employee + Spouse","5",0,1467.69,0,0,0,0,1467.69,0,0,0]
["Employee + 2+ Children","6",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Spouse + 1 Child","7",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Spouse + 2+Children","8",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner","9",0,1467.69,0,0,0,0,1467.69,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner + Children","11",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Child + DP Children","16",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,LOA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","196"]
[" Rate Name","2016 Blue Shield HSA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 524"]
[" Sub Rate Name"," PPO - HSA Commissioner-Sr Citizen"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",876.47,0,0,0,0,876.47,0,0,0,0]
["Employee + 1 Child","4",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Spouse","5",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + 2+ Children","6",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 1 Child","7",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 2+Children","8",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner","9",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Children","11",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + DP Children","16",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 521"]
[" Sub Rate Name"," PPO - HSA FT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",876.47,0,0,0,0,876.47,0,0,0,0]
["Employee + 1 Child","4",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Spouse","5",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + 2+ Children","6",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 1 Child","7",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 2+Children","8",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner","9",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Children","11",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + DP Children","16",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 522"]
[" Sub Rate Name"," PPO - HSA PT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",876.47,0,438.23,0,0,438.24,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 523"]
[" Sub Rate Name"," PPO - HSA Retiree"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,876.47,0,0,0,0,876.47,0,0,0]
["Employee + 1 Child","4",0,1836.52,0,0,0,0,1836.52,0,0,0]
["Employee + Spouse","5",0,1836.52,0,0,0,0,1836.52,0,0,0]
["Employee + 2+ Children","6",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Spouse + 1 Child","7",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Spouse + 2+Children","8",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner","9",0,1836.52,0,0,0,0,1836.52,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner + Children","11",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Child + DP Children","16",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","197"]
[" Rate Name","2016 Blue Shield PPO"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 528"]
[" Sub Rate Name"," PPO - Commissioner-Sr Citizen"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",974.52,0,0,0,0,974.52,0,0,0,0]
["Employee + 1 Child","4",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Spouse","5",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + 2+ Children","6",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 1 Child","7",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 2+Children","8",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner","9",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Children","11",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + DP Children","16",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 525"]
[" Sub Rate Name"," PPO - FT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",974.52,0,0,0,0,974.52,0,0,0,0]
["Employee + 1 Child","4",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Spouse","5",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + 2+ Children","6",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 1 Child","7",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 2+Children","8",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner","9",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Children","11",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + DP Children","16",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 526"]
[" Sub Rate Name"," PPO - PT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",974.52,0,487.26,0,0,487.26,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 527"]
[" Sub Rate Name"," PPO - Retiree"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,974.52,0,0,0,0,974.52,0,0,0]
["Employee + 1 Child","4",0,2045.57,0,0,0,0,2045.57,0,0,0]
["Employee + Spouse","5",0,2045.57,0,0,0,0,2045.57,0,0,0]
["Employee + 2+ Children","6",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Spouse + 1 Child","7",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Spouse + 2+Children","8",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner","9",0,2045.57,0,0,0,0,2045.57,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner + Children","11",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Child + DP Children","16",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","198"]
[" Rate Name","2016 Blue Shield HSA COBRA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 529"]
[" Sub Rate Name"," BlueShield HSA COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,894,0,0,0,0,894,0,0,0]
["Employee + 1 Child","4",0,1873.25,0,0,0,0,1873.25,0,0,0]
["Employee + Spouse","5",0,1873.25,0,0,0,0,1873.25,0,0,0]
["Employee + 2+ Children","6",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Spouse + 1 Child","7",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Spouse + 2+Children","8",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner","9",0,1873.25,0,0,0,0,1873.25,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner + Children","11",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Child + DP Children","16",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","199"]
[" Rate Name","2016 Blue Shield PPO COBRA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 530"]
[" Sub Rate Name"," BlueShield PPO COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,994.01,0,0,0,0,994.01,0,0,0]
["Employee + 1 Child","4",0,2086.48,0,0,0,0,2086.48,0,0,0]
["Employee + Spouse","5",0,2086.48,0,0,0,0,2086.48,0,0,0]
["Employee + 2+ Children","6",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Spouse + 1 Child","7",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Spouse + 2+Children","8",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner","9",0,2086.48,0,0,0,0,2086.48,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner + Children","11",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Child + DP Children","16",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","200"]
[" Rate Name","2016 Dental HMO"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 537"]
[" Sub Rate Name"," BS FT Med HMO 2 party"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,-0.36,0,0,15.78,0,0,0,0]
["Employee + 1 Child","4",30.49,0,14.71,0,0,15.78,0,0,0,0]
["Employee + Spouse","5",30.49,0,14.71,0,0,15.78,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,14.71,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 538"]
[" Sub Rate Name"," BS FT Med HMO Fam"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,-7.06,0,0,22.48,0,0,0,0]
["Employee + 1 Child","4",30.49,0,8.01,0,0,22.48,0,0,0,0]
["Employee + Spouse","5",30.49,0,8.01,0,0,22.48,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,8.01,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-9,AND-Enrolled In-equal to-110,AND-Enrolled In-not equal to-1,AND-Enrolled In-not equal to-147"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 536"]
[" Sub Rate Name"," BS FT Med HMO Single"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,7.9,0,0,7.52,0,0,0,0]
["Employee + 1 Child","4",30.49,0,22.97,0,0,7.52,0,0,0,0]
["Employee + Spouse","5",30.49,0,22.97,0,0,7.52,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,22.97,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 534"]
[" Sub Rate Name"," Commisioners"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,0,0,0,15.42,0,0,0,0]
["Employee + 1 Child","4",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Spouse","5",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,0,0,0,42.88,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired,Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 532"]
[" Sub Rate Name"," Kaiser FT Med HMO 2 party"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,11.76,0,0,3.66,0,0,0,0]
["Employee + 1 Child","4",30.49,0,26.83,0,0,3.66,0,0,0,0]
["Employee + Spouse","5",30.49,0,26.83,0,0,3.66,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,26.83,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 533"]
[" Sub Rate Name"," Kaiser FT Med HMO Fam"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,9.84,0,0,5.58,0,0,0,0]
["Employee + 1 Child","4",30.49,0,24.91,0,0,5.58,0,0,0,0]
["Employee + Spouse","5",30.49,0,24.91,0,0,5.58,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,24.91,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-9,AND-Enrolled In-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 531"]
[" Sub Rate Name"," Kaiser FT Med HMO Single"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,13.5,0,0,1.92,0,0,0,0]
["Employee + 1 Child","4",30.49,0,28.57,0,0,1.92,0,0,0,0]
["Employee + Spouse","5",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,28.57,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 539"]
[" Sub Rate Name"," Med PPO or Med HSA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,0,0,0,15.42,0,0,0,0]
["Employee + 1 Child","4",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Spouse","5",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,0,0,0,42.88,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-not equal to-1,AND-Enrolled In-not equal to-62,AND-Enrolled In-not equal to-110"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 535"]
[" Sub Rate Name"," PT Any Med"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,0,0,0,15.42,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 540"]
[" Sub Rate Name"," Retired"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,15.42,0,0,0,0,15.42,0,0,0]
["Employee + 1 Child","4",0,30.49,0,0,0,0,30.49,0,0,0]
["Employee + Spouse","5",0,30.49,0,0,0,0,30.49,0,0,0]
["Employee + 2+ Children","6",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Spouse + 1 Child","7",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Spouse + 2+Children","8",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner","9",0,30.49,0,0,0,0,30.49,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner + Children","11",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Child + DP Children","16",0,42.88,0,0,0,0,42.88,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","201"]
[" Rate Name","2016 Dental PPO"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 549"]
[" Sub Rate Name"," BS Family HMO"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,-7.05,0,0,114,0,0,0,0]
["Employee + 1 Child","4",163.99,0,8.01,0,0,155.98,0,0,0,0]
["Employee + Spouse","5",163.99,0,8.01,0,0,155.98,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,8.01,0,0,155.98,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 543"]
[" Sub Rate Name"," IPA - BS HMO 2-party-fam"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,-0.35,0,0,107.3,0,0,0,0]
["Employee + 1 Child","4",163.99,0,14.71,0,0,149.28,0,0,0,0]
["Employee + Spouse","5",163.99,0,14.71,0,0,149.28,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,14.71,0,0,149.28,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired,Retired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 542"]
[" Sub Rate Name"," IPA - BS HMO EE Only"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,7.91,0,0,99.04,0,0,0,0]
["Employee + 1 Child","4",163.99,0,22.97,0,0,141.02,0,0,0,0]
["Employee + Spouse","5",163.99,0,22.97,0,0,141.02,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,22.97,0,0,141.02,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 544"]
[" Sub Rate Name"," IPA - Kaiser HMO 2 party"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,11.77,0,0,95.18,0,0,0,0]
["Employee + 1 Child","4",163.99,0,26.83,0,0,137.16,0,0,0,0]
["Employee + Spouse","5",163.99,0,26.83,0,0,137.16,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,26.83,0,0,137.16,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired,Retired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 548"]
[" Sub Rate Name"," Kaiser HMO EE only"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,105.03,0,0,1.92,0,0,0,0]
["Employee + 1 Child","4",163.99,0,162.07,0,0,1.92,0,0,0,0]
["Employee + Spouse","5",163.99,0,162.07,0,0,1.92,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,162.07,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 546"]
[" Sub Rate Name"," Kaiser HMO Family"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,9.85,0,0,97.1,0,0,0,0]
["Employee + 1 Child","4",163.99,0,24.91,0,0,139.08,0,0,0,0]
["Employee + Spouse","5",163.99,0,24.91,0,0,139.08,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,24.91,0,0,139.08,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 541"]
[" Sub Rate Name"," PPO"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,0,0,0,106.95,0,0,0,0]
["Employee + 1 Child","4",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Spouse","5",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,0,0,0,228.17,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-54,OR-Enrolled In-equal to-147"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 545"]
[" Sub Rate Name"," PPO Commissioners"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,0,0,0,106.95,0,0,0,0]
["Employee + 1 Child","4",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Spouse","5",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,0,0,0,228.17,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 547"]
[" Sub Rate Name"," PPO Retirees"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,0,0,0,106.95,0,0,0,0]
["Employee + 1 Child","4",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Spouse","5",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,0,0,0,228.17,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","202"]
[" Rate Name","2016 Dental PPO COBRA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 550"]
[" Sub Rate Name"," Dental PPO COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,106.95,0,0,0,0,106.95,0,0,0]
["Employee + 1 Child","4",0,163.99,0,0,0,0,163.99,0,0,0]
["Employee + Spouse","5",0,163.99,0,0,0,0,163.99,0,0,0]
["Employee + 2+ Children","6",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Spouse + 1 Child","7",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Spouse + 2+Children","8",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner","9",0,163.99,0,0,0,0,163.99,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner + Children","11",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Child + DP Children","16",0,228.17,0,0,0,0,228.17,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","203"]
[" Rate Name","2016 Kaiser"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 551"]
[" Sub Rate Name"," Kaiser"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",453.05,0,453.05,0,0,0,0,0,0,0]
["Employee + 1 Child","4",860.8,0,860.8,0,0,0,0,0,0,0]
["Employee + Spouse","5",860.8,0,860.8,0,0,0,0,0,0,0]
["Employee + 2+ Children","6",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Spouse + 1 Child","7",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Spouse + 2+Children","8",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner","9",860.8,0,860.8,0,0,0,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Children","11",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Child + DP Children","16",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 554"]
[" Sub Rate Name"," Kaiser Commissioner"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",453.05,0,0,0,0,453.05,0,0,0,0]
["Employee + 1 Child","4",860.8,0,0,0,0,860.8,0,0,0,0]
["Employee + Spouse","5",860.8,0,0,0,0,860.8,0,0,0,0]
["Employee + 2+ Children","6",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Spouse + 1 Child","7",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Spouse + 2+Children","8",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner","9",860.8,0,0,0,0,860.8,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner + Children","11",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Child + DP Children","16",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 552"]
[" Sub Rate Name"," Kaiser PT + Admin Fee"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",453.05,0,226.51,0,0,226.54,0,0,0,0]
["Employee + 1 Child","4",860.8,0,226.52,0,0,634.28,0,0,0,0]
["Employee + Spouse","5",860.8,0,226.52,0,0,634.28,0,0,0,0]
["Employee + 2+ Children","6",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Spouse + 1 Child","7",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Spouse + 2+Children","8",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner","9",860.8,0,226.52,0,0,634.28,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner + Children","11",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Child + DP Children","16",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 553"]
[" Sub Rate Name"," Kaiser Retirees"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,453.05,0,0,0,0,453.05,0,0,0]
["Employee + 1 Child","4",0,860.8,0,0,0,0,860.8,0,0,0]
["Employee + Spouse","5",0,860.8,0,0,0,0,860.8,0,0,0]
["Employee + 2+ Children","6",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Spouse + 1 Child","7",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Spouse + 2+Children","8",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner","9",0,860.8,0,0,0,0,860.8,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner + Children","11",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Child + DP Children","16",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","204"]
[" Rate Name","2016 Kaiser COBRA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 555"]
[" Sub Rate Name"," Kaiser COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,462.11,0,0,0,0,462.11,0,0,0]
["Employee + 1 Child","4",0,878.02,0,0,0,0,878.02,0,0,0]
["Employee + Spouse","5",0,878.02,0,0,0,0,878.02,0,0,0]
["Employee + 2+ Children","6",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Spouse + 1 Child","7",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Spouse + 2+Children","8",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner","9",0,878.02,0,0,0,0,878.02,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner + Children","11",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Child + DP Children","16",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","205"]
[" Rate Name","2016 Kaiser Senior Advantage"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 557"]
[" Sub Rate Name"," EE Med"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,285.58,0,0,0,0,285.58,0,0,0]
["Employee + Spouse","5",0,686.83,0,0,0,0,686.83,0,0,0]
["Employee + Spouse + 1 Child","7",0,1132.66,0,0,0,0,1132.66,0,0,0]
["Employee + Spouse + 2+Children","8",0,1132.66,0,0,0,0,1132.66,0,0,0]
["Employee + Domestic Partner","9",0,686.83,0,0,0,0,686.83,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,COBRA,Deceased,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","Has Spouse-equal to-1,AND-IsSpouseMedicare-equal to-0,OR-Has Spouse-equal to-0,AND-Has Medicare-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 558"]
[" Sub Rate Name"," EE NM"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,706.57,0,0,0,0,706.57,0,0,0]
["Employee + Spouse","5",0,731.24,0,0,0,0,731.24,0,0,0]
["Employee + Spouse + 1 Child","7",0,1177.07,0,0,0,0,1177.07,0,0,0]
["Employee + Spouse + 2+Children","8",0,1177.07,0,0,0,0,1177.07,0,0,0]
["Employee + Domestic Partner","9",0,731.24,0,0,0,0,731.24,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","Has Medicare-equal to-0,AND-IsSpouseMedicare-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 556"]
[" Sub Rate Name"," Med both"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,285.58,0,0,0,0,285.58,0,0,0]
["Employee + Spouse","5",0,570.98,0,0,0,0,570.98,0,0,0]
["Employee + Spouse + 1 Child","7",0,1016.81,0,0,0,0,1016.81,0,0,0]
["Employee + Spouse + 2+Children","8",0,1016.81,0,0,0,0,1016.81,0,0,0]
["Employee + Domestic Partner","9",0,570.98,0,0,0,0,570.98,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","Has Medicare-equal to-1,AND-IsSpouseMedicare-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","206"]
[" Rate Name","2016 Vision"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 559"]
[" Sub Rate Name"," Vision"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,0,0,0,7.04,0,0,0,0]
["Employee + 1 Child","4",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Spouse","5",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,0,0,0,24.73,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,Crossing Guard,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP,RPT"]
[" Life Class"," None"]
["Employee Status","Active,LOA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-54,OR-Enrolled In-equal to-147,AND-Enrolled In-not equal to-110,OR-Enrolled In-not equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 560"]
[" Sub Rate Name"," Vision - IPA - HMO"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,7.04,0,0,0,0,0,0,0]
["Employee + 1 Child","4",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Spouse","5",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,Crossing Guard,EPT,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP,RPT"]
[" Life Class"," None"]
["Employee Status","Active,LOA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-not equal to-54,AND-Enrolled In-equal to-1,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 561"]
[" Sub Rate Name"," Vision - IPA - Ret"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,0,0,0,7.04,0,0,0,0]
["Employee + 1 Child","4",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Spouse","5",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,0,0,0,24.73,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,Crossing Guard,EPT,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP,RPT,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 563"]
[" Sub Rate Name"," Vision- Blue Shield HMO EE only"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,7.04,0,0,0,0,0,0,0]
["Employee + 1 Child","4",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Spouse","5",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 562"]
[" Sub Rate Name"," Vision Commission & Sr. Council"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,0,0,0,7.04,0,0,0,0]
["Employee + 1 Child","4",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Spouse","5",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,0,0,0,24.73,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","207"]
[" Rate Name","2016 Vision COBRA"]
[" Start Date","01/01/2016"]
[" End Date","12/31/2016"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 564"]
[" Sub Rate Name"," Vision COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,7.04,0,0,0,0,7.04,0,0,0]
["Employee + 1 Child","4",0,15.36,0,0,0,0,15.36,0,0,0]
["Employee + Spouse","5",0,15.36,0,0,0,0,15.36,0,0,0]
["Employee + 2+ Children","6",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Spouse + 1 Child","7",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Spouse + 2+Children","8",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner","9",0,15.36,0,0,0,0,15.36,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner + Children","11",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Child + DP Children","16",0,24.73,0,0,0,0,24.73,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","208"]
[" Rate Name","2017 - Kaiser BRONZE"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 565"]
[" Sub Rate Name"," Kaiser PT + Admin Fee"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",268.22,0,134.1,0,0,134.12,0,0,0,0]
["Employee + 1 Child","4",509.61,0,134.09,0,0,375.52,0,0,0,0]
["Employee + Spouse","5",509.61,0,134.09,0,0,375.52,0,0,0,0]
["Employee + 2+ Children","6",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Spouse + 1 Child","7",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Spouse + 2+Children","8",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner","9",509.61,0,134.09,0,0,375.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner + Children","11",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Employee + Child + DP Children","16",777.85,0,134.09,0,0,643.76,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","209"]
[" Rate Name","2017 Blue Shield HMO"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 569"]
[" Sub Rate Name"," HMO - Commssioner-Sr Citizen"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,0,0,0,684.91,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Spouse","5",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 566"]
[" Sub Rate Name"," HMO - FT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,684.91,0,0,0,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,1438.91,0,0,0,0,0,0,0]
["Employee + Spouse","5",1438.91,0,1438.91,0,0,0,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,1438.91,0,0,0,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,2053.7,0,0,0,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 567"]
[" Sub Rate Name"," HMO - PT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,0,342.45,0,342.46,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,0,342.45,0,1096.46,0,0,0,0]
["Employee + Spouse","5",1438.91,0,0,342.45,0,1096.46,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,0,342.45,0,1096.46,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,0,342.46,0,1711.24,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 568"]
[" Sub Rate Name"," HMO - Retiree"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",684.91,0,0,0,0,684.91,0,0,0,0]
["Employee + 1 Child","4",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Spouse","5",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + 2+ Children","6",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 1 Child","7",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Spouse + 2+Children","8",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner","9",1438.91,0,0,0,0,1438.91,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Children","11",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Employee + Child + DP Children","16",2053.7,0,0,0,0,2053.7,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","210"]
[" Rate Name","2017 Blue Shield HMO COBRA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 570"]
[" Sub Rate Name"," Blue Shield HMO COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,698.61,0,0,0,0,698.61,0,0,0]
["Employee + 1 Child","4",0,1467.69,0,0,0,0,1467.69,0,0,0]
["Employee + Spouse","5",0,1467.69,0,0,0,0,1467.69,0,0,0]
["Employee + 2+ Children","6",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Spouse + 1 Child","7",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Spouse + 2+Children","8",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner","9",0,1467.69,0,0,0,0,1467.69,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner + Children","11",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Employee + Child + DP Children","16",0,2094.77,0,0,0,0,2094.77,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,LOA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","211"]
[" Rate Name","2017 Blue Shield HSA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 574"]
[" Sub Rate Name"," PPO - HSA Commissioner-Sr Citizen"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",876.47,0,0,0,0,876.47,0,0,0,0]
["Employee + 1 Child","4",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Spouse","5",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + 2+ Children","6",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 1 Child","7",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 2+Children","8",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner","9",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Children","11",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + DP Children","16",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 571"]
[" Sub Rate Name"," PPO - HSA FT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",876.47,0,0,0,0,876.47,0,0,0,0]
["Employee + 1 Child","4",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Spouse","5",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + 2+ Children","6",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 1 Child","7",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Spouse + 2+Children","8",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner","9",1836.52,0,0,0,0,1836.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Children","11",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Employee + Child + DP Children","16",2622.5,0,0,0,0,2622.5,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 572"]
[" Sub Rate Name"," PPO - HSA PT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",876.47,0,438.23,0,0,438.24,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 573"]
[" Sub Rate Name"," PPO - HSA Retiree"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,876.47,0,0,0,0,876.47,0,0,0]
["Employee + 1 Child","4",0,1836.52,0,0,0,0,1836.52,0,0,0]
["Employee + Spouse","5",0,1836.52,0,0,0,0,1836.52,0,0,0]
["Employee + 2+ Children","6",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Spouse + 1 Child","7",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Spouse + 2+Children","8",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner","9",0,1836.52,0,0,0,0,1836.52,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner + Children","11",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Employee + Child + DP Children","16",0,2622.5,0,0,0,0,2622.5,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","212"]
[" Rate Name","2017 Blue Shield HSA COBRA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 575"]
[" Sub Rate Name"," BlueShield HSA COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,894,0,0,0,0,894,0,0,0]
["Employee + 1 Child","4",0,1873.25,0,0,0,0,1873.25,0,0,0]
["Employee + Spouse","5",0,1873.25,0,0,0,0,1873.25,0,0,0]
["Employee + 2+ Children","6",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Spouse + 1 Child","7",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Spouse + 2+Children","8",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner","9",0,1873.25,0,0,0,0,1873.25,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner + Children","11",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Employee + Child + DP Children","16",0,2674.95,0,0,0,0,2674.95,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","213"]
[" Rate Name","2017 Blue Shield PPO"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 579"]
[" Sub Rate Name"," PPO - Commissioner-Sr Citizen"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",974.52,0,0,0,0,974.52,0,0,0,0]
["Employee + 1 Child","4",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Spouse","5",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + 2+ Children","6",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 1 Child","7",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 2+Children","8",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner","9",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Children","11",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + DP Children","16",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 576"]
[" Sub Rate Name"," PPO - FT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",974.52,0,0,0,0,974.52,0,0,0,0]
["Employee + 1 Child","4",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Spouse","5",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + 2+ Children","6",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 1 Child","7",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Spouse + 2+Children","8",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner","9",2045.57,0,0,0,0,2045.57,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Children","11",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Employee + Child + DP Children","16",2923.55,0,0,0,0,2923.55,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 577"]
[" Sub Rate Name"," PPO - PT"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",974.52,0,487.26,0,0,487.26,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 578"]
[" Sub Rate Name"," PPO - Retiree"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,974.52,0,0,0,0,974.52,0,0,0]
["Employee + 1 Child","4",0,2045.57,0,0,0,0,2045.57,0,0,0]
["Employee + Spouse","5",0,2045.57,0,0,0,0,2045.57,0,0,0]
["Employee + 2+ Children","6",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Spouse + 1 Child","7",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Spouse + 2+Children","8",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner","9",0,2045.57,0,0,0,0,2045.57,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner + Children","11",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Employee + Child + DP Children","16",0,2923.55,0,0,0,0,2923.55,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","214"]
[" Rate Name","2017 Blue Shield PPO COBRA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 580"]
[" Sub Rate Name"," BlueShield PPO COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,994.01,0,0,0,0,994.01,0,0,0]
["Employee + 1 Child","4",0,2086.48,0,0,0,0,2086.48,0,0,0]
["Employee + Spouse","5",0,2086.48,0,0,0,0,2086.48,0,0,0]
["Employee + 2+ Children","6",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Spouse + 1 Child","7",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Spouse + 2+Children","8",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner","9",0,2086.48,0,0,0,0,2086.48,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner + Children","11",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Employee + Child + DP Children","16",0,2982.02,0,0,0,0,2982.02,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","215"]
[" Rate Name","2017 Dental HMO"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 587"]
[" Sub Rate Name"," BS FT Med HMO 2 party"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,-0.36,0,0,15.78,0,0,0,0]
["Employee + 1 Child","4",30.49,0,14.71,0,0,15.78,0,0,0,0]
["Employee + Spouse","5",30.49,0,14.71,0,0,15.78,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,14.71,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,27.1,0,0,15.78,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 588"]
[" Sub Rate Name"," BS FT Med HMO Fam"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,-7.06,0,0,22.48,0,0,0,0]
["Employee + 1 Child","4",30.49,0,8.01,0,0,22.48,0,0,0,0]
["Employee + Spouse","5",30.49,0,8.01,0,0,22.48,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,8.01,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,20.4,0,0,22.48,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-9,AND-Enrolled In-equal to-110,AND-Enrolled In-not equal to-1,AND-Enrolled In-not equal to-147"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 586"]
[" Sub Rate Name"," BS FT Med HMO Single"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,7.9,0,0,7.52,0,0,0,0]
["Employee + 1 Child","4",30.49,0,22.97,0,0,7.52,0,0,0,0]
["Employee + Spouse","5",30.49,0,22.97,0,0,7.52,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,22.97,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,35.36,0,0,7.52,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 584"]
[" Sub Rate Name"," Commisioners"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,0,0,0,15.42,0,0,0,0]
["Employee + 1 Child","4",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Spouse","5",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,0,0,0,42.88,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired,Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 582"]
[" Sub Rate Name"," Kaiser FT Med HMO 2 party"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,11.76,0,0,3.66,0,0,0,0]
["Employee + 1 Child","4",30.49,0,26.83,0,0,3.66,0,0,0,0]
["Employee + Spouse","5",30.49,0,26.83,0,0,3.66,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,26.83,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,39.22,0,0,3.66,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 583"]
[" Sub Rate Name"," Kaiser FT Med HMO Fam"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,9.84,0,0,5.58,0,0,0,0]
["Employee + 1 Child","4",30.49,0,24.91,0,0,5.58,0,0,0,0]
["Employee + Spouse","5",30.49,0,24.91,0,0,5.58,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,24.91,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,37.3,0,0,5.58,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-9,AND-Enrolled In-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 581"]
[" Sub Rate Name"," Kaiser FT Med HMO Single"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,13.5,0,0,1.92,0,0,0,0]
["Employee + 1 Child","4",30.49,0,28.57,0,0,1.92,0,0,0,0]
["Employee + Spouse","5",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,28.57,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,40.96,0,0,1.92,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 589"]
[" Sub Rate Name"," Med PPO or Med HSA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,0,0,0,15.42,0,0,0,0]
["Employee + 1 Child","4",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Spouse","5",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + 2+ Children","6",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 1 Child","7",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Spouse + 2+Children","8",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner","9",30.49,0,0,0,0,30.49,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Children","11",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",42.88,0,0,0,0,42.88,0,0,0,0]
["Employee + Child + DP Children","16",42.88,0,0,0,0,42.88,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-not equal to-1,AND-Enrolled In-not equal to-62,AND-Enrolled In-not equal to-110"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 585"]
[" Sub Rate Name"," PT Any Med"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",15.42,0,0,0,0,15.42,0,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 2+Children","8","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner","9","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse","5","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Spouse + 1 Child","7","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 590"]
[" Sub Rate Name"," Retired"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,15.42,0,0,0,0,15.42,0,0,0]
["Employee + 1 Child","4",0,30.49,0,0,0,0,30.49,0,0,0]
["Employee + Spouse","5",0,30.49,0,0,0,0,30.49,0,0,0]
["Employee + 2+ Children","6",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Spouse + 1 Child","7",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Spouse + 2+Children","8",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner","9",0,30.49,0,0,0,0,30.49,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner + Children","11",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,42.88,0,0,0,0,42.88,0,0,0]
["Employee + Child + DP Children","16",0,42.88,0,0,0,0,42.88,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","216"]
[" Rate Name","2017 Dental PPO"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 599"]
[" Sub Rate Name"," BS Family HMO"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,-7.05,0,0,114,0,0,0,0]
["Employee + 1 Child","4",163.99,0,8.01,0,0,155.98,0,0,0,0]
["Employee + Spouse","5",163.99,0,8.01,0,0,155.98,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,8.01,0,0,155.98,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,20.41,0,0,207.76,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 593"]
[" Sub Rate Name"," IPA - BS HMO 2-party-fam"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,-0.35,0,0,107.3,0,0,0,0]
["Employee + 1 Child","4",163.99,0,14.71,0,0,149.28,0,0,0,0]
["Employee + Spouse","5",163.99,0,14.71,0,0,149.28,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,14.71,0,0,149.28,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,27.11,0,0,201.06,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired,Retired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 592"]
[" Sub Rate Name"," IPA - BS HMO EE Only"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,7.91,0,0,99.04,0,0,0,0]
["Employee + 1 Child","4",163.99,0,22.97,0,0,141.02,0,0,0,0]
["Employee + Spouse","5",163.99,0,22.97,0,0,141.02,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,22.97,0,0,141.02,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,35.37,0,0,192.8,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 594"]
[" Sub Rate Name"," IPA - Kaiser HMO 2 party"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,11.77,0,0,95.18,0,0,0,0]
["Employee + 1 Child","4",163.99,0,26.83,0,0,137.16,0,0,0,0]
["Employee + Spouse","5",163.99,0,26.83,0,0,137.16,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,26.83,0,0,137.16,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,39.23,0,0,188.94,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired,Retired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-4,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-5,OR-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 598"]
[" Sub Rate Name"," Kaiser HMO EE only"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,105.03,0,0,1.92,0,0,0,0]
["Employee + 1 Child","4",163.99,0,162.07,0,0,1.92,0,0,0,0]
["Employee + Spouse","5",163.99,0,162.07,0,0,1.92,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,162.07,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,226.25,0,0,1.92,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 596"]
[" Sub Rate Name"," Kaiser HMO Family"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,9.85,0,0,97.1,0,0,0,0]
["Employee + 1 Child","4",163.99,0,24.91,0,0,139.08,0,0,0,0]
["Employee + Spouse","5",163.99,0,24.91,0,0,139.08,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,24.91,0,0,139.08,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,37.31,0,0,190.86,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-1,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-4,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-5,AND-Enrolled In-equal to-1,AND-Enrollment Coverage Tier-not equal to-9"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 591"]
[" Sub Rate Name"," PPO"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,0,0,0,106.95,0,0,0,0]
["Employee + 1 Child","4",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Spouse","5",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,0,0,0,228.17,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-54,OR-Enrolled In-equal to-147"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 595"]
[" Sub Rate Name"," PPO Commissioners"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,0,0,0,106.95,0,0,0,0]
["Employee + 1 Child","4",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Spouse","5",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,0,0,0,228.17,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 597"]
[" Sub Rate Name"," PPO Retirees"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",106.95,0,0,0,0,106.95,0,0,0,0]
["Employee + 1 Child","4",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Spouse","5",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + 2+ Children","6",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 1 Child","7",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Spouse + 2+Children","8",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner","9",163.99,0,0,0,0,163.99,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Children","11",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",228.17,0,0,0,0,228.17,0,0,0,0]
["Employee + Child + DP Children","16",228.17,0,0,0,0,228.17,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","217"]
[" Rate Name","2017 Kaiser"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 600"]
[" Sub Rate Name"," Kaiser"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",453.05,0,453.05,0,0,0,0,0,0,0]
["Employee + 1 Child","4",860.8,0,860.8,0,0,0,0,0,0,0]
["Employee + Spouse","5",860.8,0,860.8,0,0,0,0,0,0,0]
["Employee + 2+ Children","6",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Spouse + 1 Child","7",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Spouse + 2+Children","8",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner","9",860.8,0,860.8,0,0,0,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Children","11",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Employee + Child + DP Children","16",1313.84,0,1313.84,0,0,0,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 603"]
[" Sub Rate Name"," Kaiser Commissioner"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",453.05,0,0,0,0,453.05,0,0,0,0]
["Employee + 1 Child","4",860.8,0,0,0,0,860.8,0,0,0,0]
["Employee + Spouse","5",860.8,0,0,0,0,860.8,0,0,0,0]
["Employee + 2+ Children","6",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Spouse + 1 Child","7",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Spouse + 2+Children","8",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner","9",860.8,0,0,0,0,860.8,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner + Children","11",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Employee + Child + DP Children","16",1313.84,0,0,0,0,1313.84,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 601"]
[" Sub Rate Name"," Kaiser PT + Admin Fee"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",453.05,0,226.51,0,0,226.54,0,0,0,0]
["Employee + 1 Child","4",860.8,0,226.52,0,0,634.28,0,0,0,0]
["Employee + Spouse","5",860.8,0,226.52,0,0,634.28,0,0,0,0]
["Employee + 2+ Children","6",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Spouse + 1 Child","7",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Spouse + 2+Children","8",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner","9",860.8,0,226.52,0,0,634.28,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner + Children","11",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Employee + Child + DP Children","16",1313.84,0,226.52,0,0,1087.32,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Crossing Guard,EPT,PT,RPT"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 602"]
[" Sub Rate Name"," Kaiser Retirees"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,453.05,0,0,0,0,453.05,0,0,0]
["Employee + 1 Child","4",0,860.8,0,0,0,0,860.8,0,0,0]
["Employee + Spouse","5",0,860.8,0,0,0,0,860.8,0,0,0]
["Employee + 2+ Children","6",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Spouse + 1 Child","7",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Spouse + 2+Children","8",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner","9",0,860.8,0,0,0,0,860.8,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner + Children","11",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Employee + Child + DP Children","16",0,1313.84,0,0,0,0,1313.84,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","218"]
[" Rate Name","2017 Kaiser COBRA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 604"]
[" Sub Rate Name"," Kaiser COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,462.11,0,0,0,0,462.11,0,0,0]
["Employee + 1 Child","4",0,878.02,0,0,0,0,878.02,0,0,0]
["Employee + Spouse","5",0,878.02,0,0,0,0,878.02,0,0,0]
["Employee + 2+ Children","6",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Spouse + 1 Child","7",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Spouse + 2+Children","8",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner","9",0,878.02,0,0,0,0,878.02,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner + Children","11",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Employee + Child + DP Children","16",0,1340.12,0,0,0,0,1340.12,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","219"]
[" Rate Name","2017 Kaiser Senior Advantage"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 606"]
[" Sub Rate Name"," EE Med"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,285.58,0,0,0,0,285.58,0,0,0]
["Employee + Spouse","5",0,686.83,0,0,0,0,686.83,0,0,0]
["Employee + Spouse + 1 Child","7",0,1132.66,0,0,0,0,1132.66,0,0,0]
["Employee + Spouse + 2+Children","8",0,1132.66,0,0,0,0,1132.66,0,0,0]
["Employee + Domestic Partner","9",0,686.83,0,0,0,0,686.83,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,COBRA,Deceased,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","Has Spouse-equal to-1,AND-IsSpouseMedicare-equal to-0,OR-Has Spouse-equal to-0,AND-Has Medicare-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 607"]
[" Sub Rate Name"," EE NM"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,706.57,0,0,0,0,706.57,0,0,0]
["Employee + Spouse","5",0,731.24,0,0,0,0,731.24,0,0,0]
["Employee + Spouse + 1 Child","7",0,1177.07,0,0,0,0,1177.07,0,0,0]
["Employee + Spouse + 2+Children","8",0,1177.07,0,0,0,0,1177.07,0,0,0]
["Employee + Domestic Partner","9",0,731.24,0,0,0,0,731.24,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","Has Medicare-equal to-0,AND-IsSpouseMedicare-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 605"]
[" Sub Rate Name"," Med both"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,285.58,0,0,0,0,285.58,0,0,0]
["Employee + Spouse","5",0,570.98,0,0,0,0,570.98,0,0,0]
["Employee + Spouse + 1 Child","7",0,1016.81,0,0,0,0,1016.81,0,0,0]
["Employee + Spouse + 2+Children","8",0,1016.81,0,0,0,0,1016.81,0,0,0]
["Employee + Domestic Partner","9",0,570.98,0,0,0,0,570.98,0,0,0]
["Employee + Domestic Partner + Children","11","-","-","-","-","-","-","-","-","-","-"]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + 1 Child","10","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + DP Children","16","-","-","-","-","-","-","-","-","-","-"]
["Employee + 1 Child","4","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+ Children","6","-","-","-","-","-","-","-","-","-","-"]
["Employee + Child + Domestic Partner + DP Children","14","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Children","13","-","-","-","-","-","-","-","-","-","-"]
["Employee + Domestic Partner + Domestic Partners Child","12","-","-","-","-","-","-","-","-","-","-"]
["Employee + 2+Child + Domestic Partner + DP Children","15","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","Has Medicare-equal to-1,AND-IsSpouseMedicare-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","220"]
[" Rate Name","2017 Vision"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","No"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","Compensation at Time of Election"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 608"]
[" Sub Rate Name"," Vision"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,0,0,0,7.04,0,0,0,0]
["Employee + 1 Child","4",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Spouse","5",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,0,0,0,24.73,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,Crossing Guard,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP,RPT"]
[" Life Class"," None"]
["Employee Status","Active,LOA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-54,OR-Enrolled In-equal to-147,AND-Enrolled In-not equal to-110,OR-Enrolled In-not equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 609"]
[" Sub Rate Name"," Vision - IPA - HMO"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,7.04,0,0,0,0,0,0,0]
["Employee + 1 Child","4",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Spouse","5",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,Crossing Guard,EPT,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP,RPT"]
[" Life Class"," None"]
["Employee Status","Active,LOA,Rehired"]
["Additional Eligibility Criteria","Enrolled In-not equal to-54,AND-Enrolled In-equal to-1,OR-Enrolled In-equal to-110,AND-Enrollment Coverage Tier-not equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 610"]
[" Sub Rate Name"," Vision - IPA - Ret"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,0,0,0,7.04,0,0,0,0]
["Employee + 1 Child","4",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Spouse","5",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,0,0,0,24.73,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,Commissioner,CONF,CONFEX,Crossing Guard,EPT,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP,RPT,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 612"]
[" Sub Rate Name"," Vision- Blue Shield HMO EE only"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,7.04,0,0,0,0,0,0,0]
["Employee + 1 Child","4",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Spouse","5",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,7.04,0,0,8.32,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,7.04,0,0,17.69,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," ASAP,City Council,CONF,CONFEX,ICEA,IPA,IPASGT,IPEA,IPEAEX,IPMA,MGMT,NORP"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Military Leave,Rehired"]
["Additional Eligibility Criteria","Enrolled In-equal to-110,AND-Enrollment Coverage Tier-equal to-1"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 611"]
[" Sub Rate Name"," Vision Commission & Sr. Council"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",7.04,0,0,0,0,7.04,0,0,0,0]
["Employee + 1 Child","4",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Spouse","5",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + 2+ Children","6",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 1 Child","7",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Spouse + 2+Children","8",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner","9",15.36,0,0,0,0,15.36,0,0,0,0]
["Employee + Domestic Partner + 1 Child","10",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Children","11",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",24.73,0,0,0,0,24.73,0,0,0,0]
["Employee + Child + DP Children","16",24.73,0,0,0,0,24.73,0,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," Commissioner,Sr Citizen Council"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Rehired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","221"]
[" Rate Name","2017 Vision COBRA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 613"]
[" Sub Rate Name"," Vision COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,7.04,0,0,0,0,7.04,0,0,0]
["Employee + 1 Child","4",0,15.36,0,0,0,0,15.36,0,0,0]
["Employee + Spouse","5",0,15.36,0,0,0,0,15.36,0,0,0]
["Employee + 2+ Children","6",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Spouse + 1 Child","7",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Spouse + 2+Children","8",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner","9",0,15.36,0,0,0,0,15.36,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner + Children","11",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,24.73,0,0,0,0,24.73,0,0,0]
["Employee + Child + DP Children","16",0,24.73,0,0,0,0,24.73,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","222"]
[" Rate Name","2017 Dental PPO COBRA"]
[" Start Date","01/01/2017"]
[" End Date","12/31/2017"]
[" Benefit Template","Health"]
[" Contribution Basis","Flat Amounts"]
[" Cobra Rate","Yes"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[" Compensation Basis Flag","-"]
[" Compensation Date","-"]
[" Additional Compensation Factors","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 614"]
[" Sub Rate Name"," Dental PPO COBRA"]
[""]
["Sub Rate Matrics"]
["Health Tier Name","Health Tier Id","Monthly Pre Tax Rate","Monthly Post Tax Rate","Employer Pre Tax Contribution","Employer Pre Tax Cost","Employer Post Tax Cost","Employee Pre Tax Cost","Employee Post Tax Cost","Employee Pre Tax % Of Salary","Employee Post Tax % Of Salary","Health Imputed Income"]
["Employee","1",0,106.95,0,0,0,0,106.95,0,0,0]
["Employee + 1 Child","4",0,163.99,0,0,0,0,163.99,0,0,0]
["Employee + Spouse","5",0,163.99,0,0,0,0,163.99,0,0,0]
["Employee + 2+ Children","6",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Spouse + 1 Child","7",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Spouse + 2+Children","8",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner","9",0,163.99,0,0,0,0,163.99,0,0,0]
["Employee + Domestic Partner + 1 Child","10",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner + Children","11",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner + Domestic Partners Child","12",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Domestic Partner + Domestic Partners Children","13",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Child + Domestic Partner + DP Children","14",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + 2+Child + Domestic Partner + DP Children","15",0,228.17,0,0,0,0,228.17,0,0,0]
["Employee + Child + DP Children","16",0,228.17,0,0,0,0,228.17,0,0,0]
["Spouse + 1 Child","19","-","-","-","-","-","-","-","-","-","-"]
["Spouse","17","-","-","-","-","-","-","-","-","-","-"]
["Child","18","-","-","-","-","-","-","-","-","-","-"]
["Spouse +2+ Children","20","-","-","-","-","-","-","-","-","-","-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","COBRA,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["End Of Standard Rates"]
[""]

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["Life Rates"]
["Rate Details"]
["Rate Id","26"]
[" Rate Name","2013 VolLife"]
[" Start Date","01/01/2007"]
[" End Date","12/31/2016"]
[" Benefit Template","Life"]
[" Coverage Divisor",1000]
[" % Of Employer Pre Tax Cost",0]
[" % Of Employer Post Tax Cost",0]
[" Maximum Covered Salary",0]
[" Benefit Template","Life"]
[" Plan Costs Calculation Basis","Age or Years of Service as on January 1 of Current year"]
[" Cobra Rate","No"]
[" Contribution Basis","-"]
[" Rate Table Basis","Age"]
[" Coverage Divisor Basis","Coverage"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 107"]
[" Sub Rate Name"," SubRate - VolLife"]
[""]
["Employee and Spouse Costs"]
["Member Type","Employee And Spouse Cost ID","Age Range","Gender","Pre Tax Cost","Post Tax Cost","Coverage Amount"]
["Employee","63","1-29","Both",0.07,0,"-"]
["Employee","64","30-34","Both",0.09,0,"-"]
["Employee","65","35-39","Both",0.12,0,"-"]
["Employee","66","40-44","Both",0.19,0,"-"]
["Employee","67","45-49","Both",0.32,0,"-"]
["Employee","68","50-54","Both",0.54,0,"-"]
["Employee","69","55-59","Both",0.85,0,"-"]
["Employee","70","60-64","Both",1.31,0,"-"]
["Employee","71","65-120","Both",2.36,0,"-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","103"]
[" Rate Name","2013 AD&D"]
[" Start Date","01/01/2010"]
[" End Date","12/31/2016"]
[" Benefit Template","Life"]
[" Coverage Divisor",1000]
[" % Of Employer Pre Tax Cost",100]
[" % Of Employer Post Tax Cost",0]
[" Maximum Covered Salary",0]
[" Benefit Template","Life"]
[" Plan Costs Calculation Basis","Age or Years of Service at Time of Election"]
[" Cobra Rate","No"]
[" Contribution Basis","-"]
[" Rate Table Basis","Age"]
[" Coverage Divisor Basis","Coverage"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 266"]
[" Sub Rate Name"," SubRate - AD&D"]
[""]
["Employee and Spouse Costs"]
["Member Type","Employee And Spouse Cost ID","Age Range","Gender","Pre Tax Cost","Post Tax Cost","Coverage Amount"]
["Employee","85","1-120","Both",0.025,0,"-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Inactive,LOA,Rehired,Retired,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","105"]
[" Rate Name","2013 VolDepdLife"]
[" Start Date","01/01/2010"]
[" End Date","12/31/2016"]
[" Benefit Template","Life"]
[" Coverage Divisor",1000]
[" % Of Employer Pre Tax Cost",0]
[" % Of Employer Post Tax Cost",0]
[" Maximum Covered Salary",0]
[" Benefit Template","Life"]
[" Plan Costs Calculation Basis","Age or Years of Service as on January 1 of Current year"]
[" Cobra Rate","No"]
[" Contribution Basis","-"]
[" Rate Table Basis","Age"]
[" Coverage Divisor Basis","Coverage"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 268"]
[" Sub Rate Name"," VolDepdLife"]
[""]
["Employee and Spouse Costs"]
["Member Type","Employee And Spouse Cost ID","Age Range","Gender","Pre Tax Cost","Post Tax Cost","Coverage Amount"]
["Child","96","1-120","Both",0.2,0,"-"]
["Domestic Partner","101","1-29","Both",0.07,0,"-"]
["Domestic Partner","102","30-34","Both",0.09,0,"-"]
["Domestic Partner","103","35-39","Both",0.12,0,"-"]
["Domestic Partner","104","40-44","Both",0.19,0,"-"]
["Domestic Partner","105","45-49","Both",0.32,0,"-"]
["Domestic Partner","106","50-54","Both",0.54,0,"-"]
["Domestic Partner","107","55-59","Both",0.85,0,"-"]
["Domestic Partner","108","60-64","Both",1.31,0,"-"]
["Domestic Partner","109","65-100","Both",2.36,0,"-"]
["Spouse","87","1-29","Both",0.07,0,"-"]
["Spouse","88","30-34","Both",0.09,0,"-"]
["Spouse","89","35-39","Both",0.12,0,"-"]
["Spouse","90","40-44","Both",0.19,0,"-"]
["Spouse","91","45-49","Both",0.32,0,"-"]
["Spouse","92","50-54","Both",0.54,0,"-"]
["Spouse","93","55-59","Both",0.85,0,"-"]
["Spouse","94","60-64","Both",1.31,0,"-"]
["Spouse","95","65-100","Both",2.36,0,"-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","106"]
[" Rate Name","2013 Vol AD&D"]
[" Start Date","01/01/2010"]
[" End Date","12/31/2016"]
[" Benefit Template","Life"]
[" Coverage Divisor",1000]
[" % Of Employer Pre Tax Cost",0]
[" % Of Employer Post Tax Cost",0]
[" Maximum Covered Salary",0]
[" Benefit Template","Life"]
[" Plan Costs Calculation Basis","Age or Years of Service as on January 1 of Current year"]
[" Cobra Rate","No"]
[" Contribution Basis","-"]
[" Rate Table Basis","Age"]
[" Coverage Divisor Basis","Coverage"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 269"]
[" Sub Rate Name"," SubRate - Vol AD&D-2010"]
[""]
["Employee and Spouse Costs"]
["Member Type","Employee And Spouse Cost ID","Age Range","Gender","Pre Tax Cost","Post Tax Cost","Coverage Amount"]
["Child","99","1-120","Both",0.01,0,"-"]
["Domestic Partner","100","1-120","Both",0.02,0,"-"]
["Employee","97","1-120","Both",0.02,0,"-"]
["Spouse","98","1-120","Both",0.02,0,"-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]
["Rate Details"]
["Rate Id","154"]
[" Rate Name","2013 Basic Life"]
[" Start Date","01/01/2013"]
[" End Date","12/31/2016"]
[" Benefit Template","Life"]
[" Coverage Divisor",1000]
[" % Of Employer Pre Tax Cost",100]
[" % Of Employer Post Tax Cost",0]
[" Maximum Covered Salary",0]
[" Benefit Template","Life"]
[" Plan Costs Calculation Basis","Age or Years of Service at Time of Election"]
[" Cobra Rate","No"]
[" Contribution Basis","-"]
[" Rate Table Basis","Age"]
[" Coverage Divisor Basis","Coverage"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 390"]
[" Sub Rate Name"," SubRate - Basic Life"]
[""]
["Employee and Spouse Costs"]
["Member Type","Employee And Spouse Cost ID","Age Range","Gender","Pre Tax Cost","Post Tax Cost","Coverage Amount"]
["Employee","111","1-120","Both",0.05,0,"-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,Inactive,LOA,Rehired,Retired,Terminated"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]

{"sheet":"LTD","index":2,"n_rows":38,"n_cols":7,"rows_kept":38,"merged":[[0,0,0,9],[1,0,1,9],[2,1,2,6],[3,1,3,6],[4,1,4,6],[5,1,5,6],[6,1,6,6],[7,1,7,6],[8,1,8,6],[9,1,9,6],[10,1,10,6],[11,1,11,6],[12,1,12,6],[13,1,13,6],[14,1,14,6],[15,1,15,6],[16,1,16,6],[17,1,17,6],[18,1,18,6],[20,0,20,1],[29,1,29,6],[30,1,30,6],[31,1,31,6],[32,1,32,6],[33,1,33,6],[34,1,34,6],[36,0,36,9]],"flags":["formulas_cached_only"]}
["LTD Rates"]
["Rate Details"]
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[" Rate Name","2013 LTD"]
[" Start Date","01/01/2013"]
[" End Date","12/31/2016"]
[" Benefit Template","LTD"]
[" Coverage Divisor",100]
[" % Of Employer Pre Tax Cost",100]
[" % Of Employer Post Tax Cost",0]
[" Maximum Covered Salary",15000]
[" Benefit Template","LTD"]
[" Plan Costs Calculation Basis","Age or Years of Service as on January 1 of Current year"]
[" Cobra Rate","No"]
[" Contribution Basis","-"]
[" Rate Table Basis","Age"]
[" Coverage Divisor Basis","Covered Salary"]
[" Effective Date Rule","-"]
[" Termination Date Rule","-"]
[""]
["Sub Rate Details"]
[" Sub Rate Id"," 389"]
[" Sub Rate Name"," SubRate - 2013 LTD"]
[""]
["Employee and Spouse Costs"]
["Member Type","Employee And Spouse Cost ID","Age Range","Gender","Pre Tax Cost","Post Tax Cost","Coverage Amount"]
["Employee","110","1-120","Both",0.27,0,"-"]
[""]
["Demographic Eligibility Rules"]
[" Division"," None"]
[" Life Class"," None"]
["Employee Status","Active,FMLA,LOA,Rehired,Retired"]
["Additional Eligibility Criteria","None"]
["Zip Table","None"]
["Zip Code Eligibility Rule","None"]
[""]
["End Of Rate"]
[""]