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Health Care Premium Increase

$60,315,000​

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 2025-26 CSU budget plan includes $60.3 million to fund the base increase in employer-paid health care costs resulting from changes in premiums effective January 2025. The following chart indicates the Government Code (employer-paid) health care contribution increases from 2020 through 2025:

Government Code Health Care Monthly Employer Contribution Rates

Eligible Dependents 20202021​ 2022 2023 2024
​​2025

Fiv​e-Year Increase
​%​
$ Amount
Employee Only$767$798$816$883$983$1,060​38.2%$293
Employee + 1 dependent$1,461$1,519$1,548$1,699$1,890$2,039​39.6%$578
Employee + 2 or more $1,868$1,937$1,983$2,124$2,366$2,551​36.6%$683

 

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 $226.9 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
20213.8%23,782,000
20222.2%$13,962,000
20238.0%$50,524,000
2024
11.3%$78,361,000
​2025
7.8%​$60,315,000​
5-Year Increase in CSU Health Care Costs:$226,944,000

 

The 2025-26 budget request funds permanent base budget costs associated with January 2025 employer health care premium increases. The CSU must absorb approximately $30.2 million during 2024-25 to fund the one-time costs related to the January 2025 premium increases for the six-month period from January-June 2025.