Common use of Medical Plans Clause in Contracts

Medical Plans. ▪ Anthem Blue Cross Full Network Classic (No Additional Cost Option) ▪ Anthem Blue Cross Full Network CA Care (*+99.60) ▪ Anthem Blue PPO Low (*+314.40) ▪ Anthem Blue PPO (*+$559.20) ▪ Xxxxxx Low HMO $30 Co-Pay (*+210.00) ▪ Xxxxxx High HMO $10 Co-Pay (*+285.60)

Medical Plans. ▪ Anthem Blue Cross Full Network Classic (No Additional Cost Option) ▪ Anthem Blue Cross Full Network CA Care (*+99.60) (No additional Cost Option) (Proposed District cover cost for just CSEA of Anthem Blue Cross Full Network CA Care) ▪ Anthem Blue PPO Low (*+314.40) ▪ Anthem Blue PPO (*+$559.20) ▪ Xxxxxx Low HMO $30 Co-Pay (*+210.00) ▪ Xxxxxx High HMO $10 Co-Pay (*+285.60)

Medical Plans. ▪ Anthem Blue Cross Full Network Classic (No Additional Cost Option) ▪ Anthem Blue Cross Full Network CA Care (*+99.60) ▪ Anthem Blue PPO Low (*+314.40) ▪ Anthem Blue PPO (*+$559.20) ▪ Xxxxxx Kaiser Low HMO $30 Co-Pay (*+210.00) ▪ Xxxxxx Kaiser High HMO $10 Co-Pay (*+285.60)

Medical Plans. ▪ Anthem Blue Cross Full Network Classic (No Additional Cost Option) ▪ Anthem Blue Cross Full Network CA Care (*+99.60) (No additional Cost Option) (Proposed District cover cost for just CSEA of Anthem Blue Cross Full Network CA Care) ▪ Anthem Blue PPO Low (*+314.40) ▪ Anthem Blue PPO (*+$559.20) ▪ Xxxxxx Kaiser Low HMO $30 Co-Pay (*+210.00) ▪ Xxxxxx Kaiser High HMO $10 Co-Pay (*+285.60)

Medical Plans. ▪ Anthem Blue Cross Full Network Classic (No Additional Cost Option) ▪ Anthem Blue Cross Full Network CA Care (*+99.60) (No additional Cost Option) ▪ Anthem Blue PPO Low (*+314.40) ▪ Anthem Blue PPO (*+$559.20) ▪ Xxxxxx Kaiser Low HMO $30 Co-Pay (*+210.00) ▪ Xxxxxx Kaiser High HMO $10 Co-Pay (*+285.60)