Employee Health Plan Coverage

ATU Represented Employees

Full-time ATU represented employees pay $25 per month for their medical coverage.

Part-time ATU represented employees pay $25 per month, plus 50% of the employer cost, in the first year of employment.  They pay $25 per month, plus 20% of the employer cost, in the second year and after.

Administrative Employees

Full-time administrative employees (working 32 hours or more per week) pay $25 per month for their medical coverage, plus any premium in excess of the Kaiser family rate.

Effective 5/19/08,  non-represented and AFSCME represented employees pay $35 per month for their medical coverage, plus any premium in the excess of the lowest-cost family monthly rate.

Effective 5/19/08, SEIU represented employees pay $35 per month for their medical coverage, plus any premium in the excess of the Kaiser family rate.

Effective 10/6/08, TAEA represented employees pay $35 per month for their medical coverage, plus any premium in the excess of the Kaiser family rate.

Administrative employees must work a minimum of 20 hours per week to be eligible for benefits.  Part-time employees (working less than 32 hours) pay a pro-rated share, depending on the number of work hours.

Health Plans

Medical Opt-Out - Full-time employees may opt-out and receive a taxable monthly payment if they have other coverage.  Employees who have a spouse or registered domestic partner working at VTA are not eligible for Medical Opt-Out.

Valley Health Plan HMO - $0 co-pay plan
www.valleyhealthplan.org

Kaiser Permanente HMO - $5 Office visits; $5 for 100-day supply prescription drugs, $50 emergency room visit (waived if admitted)
www.kaiserpermanente.org

PacifiCare HMO - $5 Office visits; 30-day supply prescription drugs  - $5 for generic, $10 for brand; $20 for non-formulary; $50 emergency room visit (waived if admitted)

PacifiCare PPO (administrative employees only) - co-pays and deductibles vary depending on whether care is accessed in network or out-of-network

Vision Service Plan (www.vsp.com)
ATU Represented Employees - Eye exam and lenses every 12 months; frames every 24 months; total deductible $10
Administrative Employees - Eye exam every 12 months - $20 deductible; lenses & frames every 12 months - $20 deductible

Pacific Union Dental (administrative employees) (www.pacificuniondental.com)
Pays 100% for most services.  Co-pay and upgrade fee for others.

Delta Dental (www.deltadentalca.org)
ATU Represented Employees - 90%/10%; no deductible, $1,500/yr max per individual
Administrative Employees - 75%/25%; no deductible, $2,000/yr max per individual