2021 Active Employees' Medical & Dental Plan Rates 

Plan Rates in effect from January 1, 2021 through December 31, 2021
Union/Association or Management
Resolution
 Full Time/Part Time more than 20 hours per week Part Time Less than 20
hours per week
 Permanent
Intermittent (PI)
 Temporary COBRA
AFSCME, LOCAL 512
 Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hrs (PDF) PI (PDF) Temp (PDF)
 COBRA (PDF)
AFSCME, LOCAL 2700 Full Time/Part Time more than 20 hours (PDF) Part Time less than 20 hrs (PDF) PI (PDF)
 Temp (PDF)
 COBRA (PDF)
CALIFORNIA NURSES
ASSOCIATION
 Full Time/Part Time more than 16 hours (PDF)

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


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

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

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

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

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

 N/A

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

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

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

 N/A N/A N/A

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

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

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

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

 COBRA (PDF)