CONFIDENTIAL ASSOCIATION OF THE CITY OF SANTA ANA (CASA)

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ARTICLE XII 12.0 EMPLOYEE INSURANCE 12.1 Health Insurance. The City shall contribute an allowance towards the employee's Cafeteria Benefit plan for health insurance premiums for eligible employees and their qualified dependents under The Public Employees' Medical&Hospital Care Act(PEMHCA)which governs the California Public Employees' Retirement System(CaIPERS)Health Insurance Programs pursuant to the provisions below: A. For each such employee who is covered under a spouse's non-City sponsored health plan,the City shall pay the employee a cash payment(subject to taxation as wages) each month in an amount equal to the City contribution for the "employee-only" coverage for medical, if the employee waives, in writing, City-provided coverage. 1, Effective January 1, 2025, the City will provide a monthly contribution to health insurance premiums at the following rates: Employee Only $1,004.00 • Employee+1 $.1,657.00 • Employee+Family $2,050.00 2. Effective January 1, 2026, the City will provide a monthly contribution to health insurance premiums at the following rates: • Employee Only $1,154.00 • Employee+1 $1,807.00 • Employee+Family $2,200.00 3. Effective January 1, 2027, the City will provide a monthly contribution to health insurance premiums at the following rates: • Employee Only $1,304.00 • Employee+1 $1,957.00 • Employee+Family $2,350.00 4. Effective January 1, 2028, the City will provide a monthly contribution to health insurance premiums at the following rates: • Employee Only $1,454.00 + Employee+1 $2,107.00 • Employee+Family $2,500.00 The above amounts are inclusive of the CaIPERS statutory minimum which CaIPERS determined and publishes each year. CONFIDENTIAL ASSOCIATION OF SANTA ANA(CASA) MOU: JULY 1,2025 THROUGH JUNE 30,2028 Page 43 13139922A SA370-00t