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Appendix H History of Management/Confidential Retiree Medical Benefits (Note: See Section 5.2(B)of this Plan for information on increases in premiums.) HIRED ON OR AFTER JANUARY HIRED PRIOR TO JANUARY 21,2009 21,2009 CRITERIA Retire on or after 9/1/96 but prior to 7/1/09 Retire on or after 7/1/09 _ New Vesting Schedule ELIGIBILITY Retire from CaIPERS at time of separation Retire from CaIPERS at time of Retire from CaIPERS at time of separation from City separation from City from City _ Tied to Kaiser 2-party early retiree plan- Tied to 2-party rate of lowest cost Tied to single party rate of lowest cost PLAN DESIGN no changes to co-payments or plan HMO health plan with increased co- HMO health plan with increased co- design payments and plan design changes Payments and plan design changes Service retirement:City pays 4%of the lowest cost HMO single party rate for each year of service completed. Accelerates as follows: 10 yrs.=75% 15 yrs.=80% Service retirement: 20 yrs.=90% Service retirement: 25 yrs.=100% City pays 4%of the Kaiser 2-party rate for City pays 4%of the lowest cost HMO each year of service completed. 2-party rate for each year of service (*Employees hired on or after 1/1/2013 are completed. PERCENTAGE Accelerates as follows: not allowed an accelerated formula under ALLOTMENT6 10 yrs.=75% Accelerates as follows: PEPRA) 10 yrs.=75% 15 yrs.=80% 20yrs.=90% 15 yrs.=80% Per PEPRA:a public employer shall not 2520 yrs.=90% yrs.=100% 25 yrs.=100% provide to managerial,elected or appointed officials a vesting schedule for postretirement health benefits that is more advantageous than that provided to other public employees,including represented employees,of the same public employer who are in related retirement membership classifications. CREDIT FOR YEARS OF Eligible to count prior years after five Eligible to count prior years after five SERVICE WITH ears of service with the Cit PRIOR CALPERS y y of years of service with the City of None,if hired on or after January 1,2009 MUNICIPAL Pleasanton Pleasanton AGENCIES Retirees eligible for Parts A&B of Retirees eligible for Parts A&B of Medicare must apply for benefits to Medicare must apply for benefits to remain on City group health plans. City is remain on City group health plans. MEDICARE not obligated to contribute a monthly City is not obligated to contribute a None retiree medical benefits terminate ELIGIBILITY at age 65. amount in excess of the monthly monthly amount in excess of the premium for Kaiser supplement to monthly premium for lowest cost Medicare. HMO plan supplement to Medicare. Years of service: Years of service: Years of service: 10=20% 18=54% 10=20% 18=54% 10=20% 18=54% 11=25% 19=57% 11=25% 19=57% 11=25% 19=57% 12=30% 20=80% 12=30% 20=80% 12=30% 20=80% 13=35% 21=84% 13=35% 21=84% 13=35% 21=84% DISABILITY 14=40% 22=88% 14=40% 22=88% 14=40% 22=88% RETIREMENT 15=45% 23=92% 15=45% 23=92% 15=45% 23=92% 16=48% 24=96% 16=48% 24=96% 16=48% 24=96% 17=51% 25+=100% 17=51% 25+=100% 17=51% 25+=100% Plan Designs remain the same as service Plan Designs remain the same as Plan Designs remain the same as service retirement/Medicare service retirement/Medicare retirement/Medicare 6 Percentages based on active employee's contributions for medical benefits. Page 44 of 44