2023 Retiree Medical and Dental Plan Rates

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

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

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

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

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