Flexible Benefits Plan Options for Deputy City Attorney's Association Members FY 2021
Below are the Flexible Benefits Plan (FBP) credits and options that are available to Deputy City Attorney's Association (DCAA) members.
FBP Credits
The City provides dollars in the form of FBP Credits that you can apply towards your health (medical, dental, vision) or life insurance premiums and Flexible Spending Accounts. Certain credit tiers also have a cash-back option, with the ability to allocate excess credits towards 401(k) or distributed as taxable income. If your coverage falls under a tier that does not have the cash-back option, then you will not be eligible for the 401(k) flex option or excess credits paid as taxable income.
Employees Hired Prior to July 1, 2020
| Coverage Type | Annual | Semi-monthly (24 pay periods)3  | ||
|---|---|---|---|---|
| Full-time | 1/2 Time (40 hours)  | 3/4 Time (60 hours)  | Full-time (80 hours)  | |
| Waive1 | $9,942.00 | $207.13 | $310.69 | $414.25 | 
| Employee only1 | $13,643.00 | $284.23 | $426.34 | $568.46 | 
| Employee & Spouse/Domestic Partner2 | $18,250.00 | $380.21 | $570.31 | $760.42 | 
| Employee & Children2 | $16,150.00 | $336.46 | $504.69 | $672.92 | 
| Employee & Spouse/Domestic Partner & Children2 | $24,100.00 | $502.08 | $753.13 | $1,004.17 | 
1 Remaining flex credits after flexible benefit plan elections may be cashed-out as taxable income or applied to a 401(k) plan.
2 emaining credits after flexible benefit plan elections may not be cashed-out nor applied to a 401(k) plan.
3 Variances due to rounding.
Employees Hired On or After July 1, 2020
| Coverage Type | Annual | Semi-monthly (24 pay periods)3  | ||
|---|---|---|---|---|
| Full-time | 1/2 Time (40 hours)  | 3/4 Time (60 hours)  | Full-time (80 hours)  | |
| Waive1 | $1,000.00 | $20.83 | $31.25 | $41.67 | 
| Employee only2 | $7,600.00 | $158.33 | $237.50 | $316.67 | 
| Employee & Spouse/Domestic Partner2 | $18,250.00 | $380.21 | $570.31 | $760.42 | 
| Employee & Children2 | $16,150.00 | $336.46 | $504.69 | $672.92 | 
| Employee & Spouse/Domestic Partner & Children2 | $24,100.00 | $502.08 | $753.13 | $1,004.17 | 
1 Remaining flex credits after flexible benefit plan elections may be cashed-out as taxable income or applied to a 401(k) plan.
2 Remaining credits after flexible benefit plan elections may not be cashed-out nor applied to a 401(k) plan.
3 Variances due to rounding.
FBP Options
Select a plan below to view detailed provider information including premiums and benefit summaries.
Medical Plans
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $0 | $0 | $0 | $0 | |
Kaiser Permanente (2 HMO plans)
Kaiser Permanente Traditional (HMO) Information
 Kaiser HMO Benefit Summary - English
 Kaiser HMO Benefit Summary - Spanish
 Chiropractic Benefits - English
 Chiropractic Benefits - Spanish
Kaiser Permanente Traditional (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $6,561 | $546.78 | $0.00 | $273.39 | |
| Employee & Spouse/Domestic Partner | $14,369 | $1,197.44 | $0.00 | $598.72 | |
| Employee & Domestic Partner (post-tax)** | $14,369 | $1,197.44 | $325.33 | $273.39 | |
| Employee & Children | $12,466 | $1,038.87 | $0.00 | $519.44 | |
| Family | $19,946 | $1,662.20 | $0.00 | $831.10 | |
| Family (Domestic Partner post-tax)** | $19,946 | $1,662.20 | $311.67 | $519.44 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Kaiser Permanente Deductible (HMO) Information
 Kaiser Deductible HMO Benefit Summary FY21 - English
 Kaiser Deductible HMO Benefit Summary FY21 - Spanish
Kaiser Permanente Deductible (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $5,049 | $420.74 | $0.00 | $210.37 | |
| Employee & Spouse/Domestic Partner | $11,057 | $921.43 | $0.00 | $460.72 | |
| Employee & Domestic Partner (post-tax)** | $11,057 | $921.43 | $250.35 | $210.37 | |
| Employee & Children | $9,593 | $799.41 | $0.00 | $399.71 | |
| Family | $15,349 | $1,279.06 | $0.00 | $639.53 | |
| Family (Domestic Partner post-tax)** | $15,349 | $1,279.06 | $239.83 | $399.71 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Kaiser Partner Site
Cigna (2 HMO plan, 1 PPO plan)
Cigna (HMO) Information
Cigna (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $13,273 | $1,106.05 | $0.00 | $553.02 | |
| Employee & Spouse/Domestic Partner | $29,067 | $2,422.26 | $0.00 | $1,211.13 | |
| Employee & Domestic Partner (post-tax)** | $29,067 | $2,422.26 | $658.10 | $553.02 | |
| Employee & Children | $25,218 | $2,101.48 | $0.00 | $1,050.74 | |
| Family | $40,349 | $3,362.38 | $0.00 | $1,681.19 | |
| Family (Domestic Partner post-tax)** | $40,349 | $3,362.38 | $630.45 | $1,050.74 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Cigna Scripps Select (HMO) Premiums
 Cigna Scripps Select HMO Benefit Summary FY21
 Cigna Vision Summary of Benefits FY21
 Cigna Select & First Responders Presentation- Cigna Scripps Select Webinar
 
 Cigna Contact Info
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | 
		||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $6,582 | $548.49 | $0.00 | $274.24 | |
| Employee & Spouse/Domestic Partner | $14,412 | $1,201.00 | $0.00 | $600.50 | |
| Employee & Domestic Partner (post-tax)** | $14,412 | $1,201.00 | $326.25 | $274.24 | |
| Employee & Children | $12,506 | $1,042.20 | $0.00 | $521.10 | |
| Family | $20,010 | $1,667.51 | $0.00 | $833.75 | |
| Family (Domestic Partner post-tax)** | $20,010 | $1,667.51 | $312.66 | $521.10 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Cigna OAP (PPO) Information
Cigna OAP (PPO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $14,612 | $1,217.67 | $0.00 | $608.83 | |
| Employee & Spouse/Domestic Partner | $32,001 | $2,666.74 | $0.00 | $1,333.37 | |
| Employee & Domestic Partner (post-tax)** | $32,001 | $2,666.74 | $724.53 | $608.83 | |
| Employee & Children | $27,763 | $2,313.58 | $0.00 | $1,156.79 | |
| Family | $44,421 | $3,701.74 | $0.00 | $1,850.87 | |
| Family (Domestic Partner post-tax)** | $44,421 | $3,701.74 | $694.08 | $1,156.79 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Cigna Additional Information
- Cigna New ID Card
 - Cigna One Guide
 - Cigna Pharmacy Home Delivery Express Scripts
 - Cigna Find A Provider
 - Scripps HealthExpress Walk-in Locations
 - Cigna Virtual Care: Know Before You Go
 - Cigna Virtual Care: When Leaving the House is Easier Said Than Done
 - Cigna Behavioral Health Provider Nomination Form
 - Cigna Active & Fit Direct Program Q&A
 - Healthy Rewards Active & Fit Direct Web Navigation Customer Flyer
 - Cigna Behavioral Telehealth
 - Cigna Healthy Choices Deserve Healthy Discounts
 - Cigna Transition of Care
 
Cigna Partnersite
Sharp Classic (HMO) Information
Sharp Classic (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $7,776 | $648.04 | $0.00 | $324.02 | |
| Employee & Spouse/Domestic Partner | $17,009 | $1,417.42 | $0.00 | $708.71 | |
| Employee & Domestic Partner (post-tax)** | $17,009 | $1,417.42 | $384.69 | $324.02 | |
| Employee & Children | $14,759 | $1,229.92 | $0.00 | $614.96 | |
| Family | $23,604 | $1,966.96 | $0.00 | $983.48 | |
| Family (Domestic Partner post-tax)** | $23,604 | $1,966.96 | $368.52 | $614.96 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Sharp Select (HMO) Information
Sharp Select (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $5,308 | $442.34 | $0.00 | $221.17 | |
| Employee & Spouse/Domestic Partner | $11,603 | $966.94 | $0.00 | $483.47 | |
| Employee & Domestic Partner (post-tax)** | $11,603 | $966.94 | $262.30 | $221.17 | |
| Employee & Children | $10,069 | $839.10 | $0.00 | $419.55 | |
| Family | $16,100 | $1,341.66 | $0.00 | $670.83 | |
| Family (Domestic Partner post-tax)** | $16,100 | $1,341.66 | $251.28 | $419.55 | |
* Variances Due to Rounding
Sharp Saver Deductible (HMO) Information
Sharp Saver Deductible (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $4,703 | $391.92 | $0.00 | $195.96 | |
| Employee & Spouse/Domestic Partner | $10,278 | $856.52 | $0.00 | $428.26 | |
| Employee & Domestic Partner (post-tax)** | $10,278 | $856.52 | $232.30 | $195.96 | |
| Employee & Children | $8,920 | $743.30 | $0.00 | $371.65 | |
| Family | $14,261 | $1,188.38 | $0.00 | $594.19 | |
| Family (Domestic Partner post-tax)** | $14,261 | $1,188.38 | $222.54 | $371.65 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Sharp Plan Additional Information
 Important COVID-19 Information:  Tools and resources to help you get the information and care you need - Coronavirus (COVID-19): Important information from Sharp Health Plan
 
 FY21 Sharp Plan Comparison
 Sharp LifeCycle
 Find a Provider
 Benefits at a Glance
 BestHealth
Dental Plans (Optional)
Delta Dental (1 DHMO plan, 1 DPO plan)
Delta Dental (DHMO) Information
Delta Dental (DHMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $140.52 | $11.71 | $0.00 | $5.86 | |
| Employee & Spouse/Domestic Partner | $280.68 | $23.39 | $0.00 | $11.70 | |
| Employee & Domestic Partner (post-tax)** | $280.68 | $23.39 | $5.84 | $5.86 | |
| Employee & Children | $245.64 | $20.47 | $0.00 | $10.24 | |
| Family | $435.24 | $36.27 | $0.00 | $18.14 | |
| Family (Domestic Partner post-tax)** | $435.24 | $36.27 | $7.90 | $10.24 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Delta Dental (DPO) Information
Delta Dental (DPO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $490.32 | $40.86 | $0.00 | $20.43 | |
| Employee & Spouse/Domestic Partner | $979.68 | $81.64 | $0.00 | $40.82 | |
| Employee & Domestic Partner (post-tax)** | $979.68 | $81.64 | $20.39 | $20.43 | |
| Employee & Children | $955.44 | $79.62 | $0.00 | $39.81 | |
| Family | $1,513.92 | $126.16 | $0.00 | $63.08 | |
| Family (Domestic Partner post-tax)** | $1,513.92 | $126.16 | $23.27 | $39.81 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
Delta Dental Additional Information
Delta Dental Partner Site
Vision Plans (Optional)
City VSP Information
- City VSP Benefits Summary
 - City VSP Member Benefits Video
 - TruHearing Member Extras
 - Exclusive Member Extras
 - $20 Featured Frame Brands Coupon
 
City VSP Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)*  | 
		||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $56 | $4.70 | $0.00 | $2.35 | |
| Employee & Spouse/Domestic Partner | $113 | $9.40 | $0.00 | $4.70 | |
| Employee & Domestic Partner (post-tax)** | $113 | $9.40 | $2.35 | $2.35 | |
| Employee & Children | $121 | $10.05 | $0.00 | $5.03 | |
| Family | $193 | $16.08 | $0.00 | $8.04 | |
| Family (Domestic Partner post-tax)** | $193 | $16.08 | $3.02 | $5.03 | |
* Variances Due to Rounding
**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.
City VSP Partnersites
Open Enrollment: http://cityofsd.vspforme.com/
Post Enrollment: https://cityofsd-acpt.vspforme.com/?view=post
Life Insurance Plans
 City of San Diego Basic Life Accidental Death & Dismemberment Insurance Benefit Highlights (Class 2)
Basic life insurance coverage of $50,000 is provided at no cost to DCAA members.
Additional Life Insurance (Supplemental Life)
 Voluntary Group Term Life Insurance Benefit Highlights
Please refer to pages 19-20 of the Benefits and Costs Booklet for more information on Supplemental Life Insurance.