City workers’ proposed family health premiums: $3,214 more a year—or no increase

Atlanta city employees with Anthem POS family medical coverage would pay $267.85 more a month under the proposed 2027 rates—an extra $3,214.20 over a full year. Employees choosing Kaiser’s high-deductible family plan would see no increase in their monthly contribution.⁠[1][2]

The Finance/Executive Committee recommended Councilmember Dustin Hillis’s benefit-rate resolution, 26-R-4274, by a 5–0 vote Oct. 28, according to its draft minutes. That is a recommendation, not final council approval. The minutes list Nov. 2 at 1 p.m. as the next step.⁠[1][3]

Here is the monthly employee contribution for family medical coverage in the adopted 2026 schedule versus the proposed 2027 schedule: • Anthem BCBS POS: $1,017.77 → $1,285.62, up $267.85, or 26.3%. • Anthem BCBS HDHP: $846.17 → $945.53, up $99.36, or 11.7%. • Kaiser HMO: $798.70 → $841.02, up $42.32, or 5.3%. • Kaiser HDHP: $651.93 → $651.93, unchanged.⁠[1][2]

The comparison fills a gap in our earlier report on the proposed 2027 premiums, which did not establish how they differed from 2026.⁠[1][2]

These are workers’ shares, not the full premiums. The Anthem POS figures would shift the employee share of the family premium from 23% to 26%. Atlanta would still pay the larger portion: $3,659.06 a month under the proposal, compared with $3,407.28 in the 2026 schedule.⁠[1][2]

And a flat employee contribution does not mean a flat premium. For Kaiser HDHP family coverage, the city’s monthly contribution would rise from $1,855.51 to $1,973.27—an increase of $117.76—while the employee payment stayed at $651.93.⁠[1][2]

The price comparison is not an estimate of total medical spending or a finding that benefits are unchanged between years. The city’s medical-plan overview explains that high-deductible plans trade a higher initial deductible for a lower premium; the premium alone is not the whole cost.⁠[1][2][4]