CONNECT with the CityFlexible Benefits Plan Options for Local 127 FY 2021
Below are the Flexible Benefits Plan (FBP) credits and options that are available to Local 127 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 | $9,956.00 | $414.83 | $414.83 | $414.83 |
| Employee only1 | $10,956.00 | $456.50 | $456.50 | $456.50 |
| Employee & Spouse/Domestic Partner2 | $14,750.00 | $614.58 | $614.58 | $614.58 |
| Employee & Children2 | $13,250.00 | $552.08 | $552.08 | $552.08 |
| Employee & Spouse/Domestic Partner & Children2 | $18,750.00 | $781.25 | $781.25 | $781.25 |
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.
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 | $41.67 | $41.57 | $41.67 |
| Employee only2 | $7,600.00 | $316.67 | $316.67 | $316.67 |
| Employee & Spouse/Domestic Partner2 | $14,750.00 | $614.58 | $614.58 | $614.58 |
| Employee & Children2 | $13,250.00 | $552.08 | $552.08 | $552.08 |
| Employee & Spouse/Domestic Partner & Children2 | $18,750.00 | $781.25 | $781.25 | $781.25 |
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)
Dental Health Services (1 DHMO plan, 1 DPO plan)
Dental Health Services (DHMO) Information
Dental Health Services (DHMO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $249 | $20.74 | $0.00 | $10.37 | |
| Employee & Spouse/Domestic Partner | $439 | $36.62 | $0.00 | $18.31 | |
| Employee & Domestic Partner (post-tax)** | $439 | $36.62 | $7.94 | $10.37 | |
| Employee & 1 Child | $439 | $36.62 | $0.00 | $18.31 | |
| Employee & Children | $614 | $51.18 | $0.00 | $25.59 | |
| Family | $614 | $51.18 | $0.00 | $25.59 | |
| Family (Domestic Partner post-tax)** | $614 | $51.18 | $7.28 | $18.31 | |
* 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.
Dental Health Services (DPO) Information
Dental Health Services (DPO) Premiums
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* | ||
|---|---|---|---|---|---|
| Post-tax | Pre-tax | ||||
| Employee only | $487 | $40.60 | $0.00 | $20.30 | |
| Employee & Spouse/Domestic Partner | $945 | $78.74 | $0.00 | $39.37 | |
| Employee & Domestic Partner (post-tax)** | $945 | $78.74 | $19.07 | $20.30 | |
| Employee & 1 Child | $945 | $78.74 | $0.00 | $39.37 | |
| Employee & Children | $1,768 | $147.30 | $0.00 | $73.65 | |
| Family | $1,768 | $147.30 | $0.00 | $73.65 | |
| Family (Domestic Partner post-tax)** | $1,768 | $147.30 | $34.28 | $39.37 | |
* 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.
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 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 (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.