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Flexible Benefits Plan Options for Teamsters Local 911
Below are the Flexible Benefits Plan (FBP) credits and options that are available to Teamsters Local 911.
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, Flexible Spending Account or 401(k) savings contributions. Selecting to "Waive" results in a distribution of the FBP Credits as taxable payroll earnings.
| Coverage Type | Annual | Semi-monthly (24 pay periods)* | ||
|---|---|---|---|---|
| Full-time | 1/2 Time (40 hours) |
3/4 Time (60 hours) |
Full-time (80 hours) |
|
| Applies to all tiers (including Waive) | $13,461.00 | $560.88 | $560.88 | $560.88 |
* 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 Permanente Traditional HMO Plan Summary of Benefits and Coverage- Kaiser Permanente Traditional HMO Plan Disclosure Form
- Kaiser Permanente Chiropractic Benefits
Kaiser Permanente Traditional (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $5,895 | $491.25 | $0.00 | $245.63 | |
| Employee & Spouse | $12,910 | $1,075.85 | $0.00 | $537.93 | |
| Employee & Domestic Partner (non-dependent) | $12,910 | $1,075.85 | $292.30 | $245.63 | |
| Employee & Children | $11,201 | $933.38 | $0.00 | $466.69 | |
| Employee & Spouse & Children | $17,921 | $1,493.41 | $0.00 | $746.71 | |
| Employee & Domestic Partner & Children (non-dependent) | $17,921 | $1,493.41 | $280.02 | $466.69 | |
* Variances Due to Rounding
Kaiser Permanente Deductible (HMO) Information
- Kaiser Permanente Deductible HMO Plan Summary of Benefits and Coverage
- Kaiser Permanente Deductible HMO Plan Disclosure Form
Kaiser Permanente Deductible (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $4,535 | $377.89 | $0.00 | $188.95 | |
| Employee & Spouse | $9,931 | $827.58 | $0.00 | $413.79 | |
| Employee & Domestic Partner (non-dependent) | $9,931 | $827.58 | $224.84 | $188.95 | |
| Employee & Children | $8,616 | $718.00 | $0.00 | $359.00 | |
| Employee & Spouse & Children | $13,785 | $1,148.79 | $0.00 | $574.40 | |
| Employee & Domestic Partner & Children (non-dependent) | $13,785 | $1,148.79 | $215.40 | $359.00 | |
* Variances Due to Rounding
Cigna (1 HMO plan, 1 PPO plan)
Cigna (HMO) Information
- Cigna HMO Summary of Benefits
- Cigna HMO Summary of Benefits (Additional Information)
- Cigna Summary of Vision Exam-Only Plan
- Cigna Contact Info
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 OAP (PPO) Information
- Cigna OAP (PPO) Summary of Benefits
- Cigna OAP (PPO) Summary of Benefits (Additional Information)
- Cigna Summary of Vision Exam-Only Plan
- Cigna Contact Info
Cigna OAP (PPO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $13,382 | $1,115.18 | $0.00 | $557.59 | |
| Employee & Spouse | $29,307 | $2,442.25 | $0.00 | $1,221.13 | |
| Employee & Domestic Partner (non-dependent) | $29,307 | $2,442.25 | $663.54 | $557.59 | |
| Employee & Children | $25,426 | $2,118.85 | $0.00 | $1,059.43 | |
| Employee & Spouse & Children | $40,682 | $3,390.16 | $0.00 | $1,695.08 | |
| Employee & Domestic Partner & Children (non-dependent) | $40,682 | $3,390.16 | $635.65 | $1,059.43 | |
* Variances Due to Rounding
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
Sharp Classic (HMO) Information
Sharp Classic (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $7,090 | $590.80 | $0.00 | $295.40 | |
| Employee & Spouse | $15,505 | $1,292.08 | $0.00 | $646.04 | |
| Employee & Domestic Partner (non-dependent) | $15,505 | $1,292.08 | $350.64 | $295.40 | |
| Employee & Children | $13,454 | $1,121.18 | $0.00 | $560.59 | |
| Employee & Spouse & Children | $21,516 | $1,792.98 | $0.00 | $896.49 | |
| Employee & Domestic Partner & Children (non-dependent) | $21,516 | $1,792.98 | $335.90 | $560.59 | |
* Variances Due to Rounding
Sharp Select (HMO) Information
Sharp Select (HMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $4,840 | $403.32 | $0.00 | $201.66 | |
| Employee & Spouse | $10,578 | $881.48 | $0.00 | $440.74 | |
| Employee & Domestic Partner (non-dependent) | $10,578 | $881.48 | $239.08 | $201.66 | |
| Employee & Children | $9,179 | $764.94 | $0.00 | $382.47 | |
| Employee & Spouse & Children | $14,676 | $1,223.02 | $0.00 | $611.51 | |
| Employee & Domestic Partner & Children (non-dependent) | $14,676 | $1,223.02 | $229.04 | $382.47 | |
* Variances Due to Rounding
Sharp Deductible (HMO) Information
Sharp 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
Dental Plans (Optional)
Concordia (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.
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.
Life Insurance Plans
City of San Diego BasicLifeADD_BHS Class 1
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* |
|---|---|---|---|
| $10,000 | $4 | $0.30 | $0.15 |
| $25,000 | $9 | $0.75 | $0.38 |
| $50,000 | $18 | $1.50 | $0.75 |
Additional Life Insurance (Portable Term)
Voluntary Group Term Life Insurance Benefit Highlights
Please refer to Page 18 of the Benefits Information and Costs Package for more information on Portable Term Life Insurance.