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Health Care Premium Increase

$78,361,000​

The California Public Employees' Retirement System (CalPERS) administers CSU employee health care benefits. Health care premiums are shared between the CSU and its employees, with the CSU funding a significant portion of the costs. The 2024-25 CSU budget plan includes $78.4 million to fund the base increase in employer-paid health care costs resulting from changes in premiums effective January 2024. The following chart indicates the Government Code (employer-paid) health care contribution increases from 2019 through 2024:

Government Code Health Care Monthly Employer Contribution Rates

Eligible Dependents 2019 20202021​ 2022 2023 2024
Fiv​e-Year Increase
​%​
$
Employee Only$734$767$798$816$883$98333.9%$249
Employee + 1 dependent$1,398$1,461$1,519$1,548$1,699$1,89035.2%$492
Employee + 2 or more$1,788 $1,868$1,937$1,983$2,124$2,36632.3%$578

 

The CSU is governed by Government Code Section 22871 that defines the way employer-paid health care contribution rates are calculated. Either through policy or collective bargaining agreement, the CSU covers health care costs for represented and non-represented employees up to an amount equivalent to the established Government Code rates, with the exception of Unit 6 (Skilled Crafts), which bargained for CSU employer health contribution rates slightly above Government Code rates.

The total increase in CSU health care costs due to contribution changes during this five-year period is more than $192.6 million.

Five-Year Increase in Health Care Costs

Calendar Year
(Contract Period)
Government Code Health 
(Employer-Paid Budget Increase)
CSU Annualized Health Care
Budget Increase
20204.5%25,981,000
20213.8%23,782,000
20222.2%$13,962,000
20238.0%$50,524,000
202411.3%$78,361,000
5-Year Increase in CSU Health Care Costs:$192,610,000

 

The 2024-25 budget request funds permanent base budget costs associated with January 2024 employer health care premium increases. The CSU must absorb approximately $39.2 million during 2023-24 to fund the one-time costs related to the January 2024 premium increases for the six-month period from January-June 2024.