Benefits · Employer Share
Medical, dental, vision & retiree health
Per-FTE employer monthly share by plan and tier. The Modesto RFP §SCOPE explicitly names “medical benefits” as part of total comp; OPEB (retiree health) liability is the line item most often under-reported in comp studies and most consequential to the City's long-term cost.
Active plans — employer monthly share by tier
Ancillary & retiree health
- Retiree Health (PEMHCA + ARMP)— Per active EE$410/mo
Retiree health (OPEB) is the long shadow
Modesto's retiree-health obligation appears as a line item but is also a multi-decade liability disclosed in the City's CAFR. Comparator OPEB share varies dramatically based on plan vintage (pre-PEMHCA vs post-PEMHCA), tier eligibility, and Medicare coordination. HSG's methodology compares the live monthly cost AND surfaces the actuarially-determined contribution context so City Council sees the full picture.
Cafeteria / opt-out dynamics
Several Central Valley comparators offer cafeteria-plan cash-back to employees who decline coverage (typically with proof of other coverage). Cash-out values can shift $300–$1,200/mo per declining employee onto the cash-comp side of the ledger and distort apples-to-apples comparisons. HSG's analysis flags cafeteria/opt-out policies in the comparator profile and reconciles cash-equivalent value on a per-classification basis.
Rates illustrative. Production rates pulled from CalPERS health rate sheets, Modesto's benefits broker, and each comparator's benefits administrator at engagement award.