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Medical Plan Costs - $45,000 or Less

Plan

Self

Self + Child(ren)

Self + Adult

Self + Adult + Child(ren)

Blue Cross PLUS

$46.59

$83.86

$131.78

$169.04

Blue Cross PPO

75.91

136.64

193.35

254.07

CIGNA Choice Fund

14.86

26.74

65.14

77.03

Core

0.00

0.00

0.00

0.00

Health Net

16.86

30.34

69.34

82.83

Kaiser Permanente--California

6.50

11.71

13.66

18.86

Kaiser Permanente--Mid-Atlantic

45.09

81.16

128.63

164.70

Kaiser Permanente--Umbrella

275.41

495.74

612.30

832.62

Western Health Advantage

6.50

11.71

13.66

18.86

Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.

Medical Plan Costs - $45,001 to $89,000

Plan

Self

Self + Child(ren)

Self + Adult

Self + Adult + Child(ren)

Blue Cross PLUS

$72.34

$130.21

$190.35

$248.21

Blue Cross PPO

101.66

182.99

251.92

333.24

CIGNA Choice Fund

40.61

73.09

123.71

156.20

Core

0.00

0.00

0.00

0.00

Health Net

42.61

76.69

127.91

162.00

Kaiser Permanente--California

33.06

59.51

74.43

100.88

Kaiser Permanente--Mid-Atlantic

70.84

127.51

187.20

243.87

Kaiser Permanente--Umbrella

301.16

542.09

670.87

911.79

Western Health Advantage

33.06

59.51

74.43

100.88

Note: The UC/employer Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.

Medical Plan Costs - $89,001 to 133,000

Plan

Self

Self + Child(ren)

Self + Adult

Self + Adult + Child(ren)

Blue Cross PLUS

$98.59

$177.46

$242.55

$321.41

Blue Cross PPO

127.91

230.24

304.12

406.44

CIGNA Choice Fund

66.86

120.34

175.91

229.40

Core

0.00

0.00

0.00

0.00

Health Net

68.86

123.94

180.11

235.20

Kaiser Permanente--California

60.16

108.29

128.06

176.19

Kaiser Permanente--Mid-Atlantic

97.09

174.76

239.40

317.07

Kaiser Permanente--Umbrella

327.41

589.34

723.07

984.99

Western Health Advantage

60.16

108.29

128.06

176.19

Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.

Medical Plan Costs - $133,001 or More

Plan

Self

Self + Child(ren)

Self + Adult

Self + Adult + Child(ren)

Blue Cross PLUS

$125.34

$225.61

$295.76

$396.02

Blue Cross PPO

154.66

278.39

357.33

481.05

CIGNA Choice Fund

93.61

168.49

229.12

304.01

Core

0.00

0.00

0.00

0.00

Health Net

95.61

172.09

233.32

309.81

Kaiser Permanente--California

88.35

159.02

183.84

254.51

Kaiser Permanente--Mid-Atlantic

123.84

222.91

292.61

391.68

Kaiser Permanente--Umbrella

354.16

637.49

776.28

1,059.60

Western Health Advantage

88.35

159.02

183.84

254.51

Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.