2023 Retiree Medical and Dental Plan Rates

The following rates are for January 1, 2023 through December 31, 2023.

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Medical and Dental Plans

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

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

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

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

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