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PPO Participation and Costs for Active Employees
<br />2007-2012
<br /> Monthly Annual
<br />
<br />
<br />
<br />
<br />lan Year
<br />
<br />
<br />
<br />lan Design Changes
<br />
<br />
<br />
<br />ier
<br />
<br />
<br />of
<br />Employees
<br />
<br />
<br />
<br />remium
<br />
<br />Orange
<br />County
<br />Contribution
<br />Employee
<br />Contribution
<br />(Dependents
<br />Only)
<br />
<br />Employee
<br />Cost for
<br />Dependents of Employee
<br />Coverage
<br />(Exclusive of
<br />Dependent
<br />Subsidy)
<br />
<br />County Cost
<br />of Dependent
<br />Subsidy
<br />
<br />
<br />otal
<br />Premium
<br /> Em to ee 58 $585 $585 $0 $0 $407,420 $0 $407,420
<br />2012 Em /Child 13 $820 $707 $112 $17,531 $91,318 $18,995 $127,844
<br />15% Em /Children 11 $1,130 $868 $261 $34,495 $77,269 $37,368 $149,131
<br />Projected Em /S ouse 11 $1,235 $923 $312 $41,168 $77,269 $44,599 $163,036
<br />Increase Famil 19 $1,756 $1,194 $562 $128,127 $133,465 $138,809 $400,400
<br /> Total 112 $221,321 $786,741 $239,771 $1,247,832
<br /> $1000 allowance for hearing aids Em to ee 58 $509 $509 $0 $0 $354,278 $0 $354,278
<br /> Mental health visits covered at 100% Em /Child 13 $713 $615 $98 $15,244 $79 407 $16,517 $111,169
<br />2011 Opened dependent status to all children up to Em !Children 11 $982 $755 $227 $29,996 $67,191 $32,494 $129,679
<br /> age 26 Em /S ouse 11 $1,074 $803 $271 $35 798 $67,191 $38,782 $141,771
<br /> Famil 19 $1,527 $1,038 $489 $111,414 $116,057 $120 703 $348,174
<br /> Total 112 $192,453 $684,123 $208,496 $1,085,071
<br /> Provided $0 generics Em to ee 62 $478 $478 $0 $355,602 $0 $355,602
<br /> Increased Physical Therapy visits by 50% Em /Child 10 $669 $577 $92 $11,012 $57,355 $11 930 $80,297
<br />2010 Added 100% covered visits to Convenience Em /Children 9 $922 $709 $213 $23,043 $51,620 $24,963 $99,626
<br /> Care Clinics Em /S ouse 9 $1,008 $754 $255 $27,502 $51,620 $29,794 $108,916
<br /> Removed student status criteria for children Famil 12 $1,434 $975 $459 $66,073 $68,826 $71,580 $206,479
<br /> over 19 Total 102 $127,630 $585,023 $138,267 $850,919
<br /> Added Health Advisor program Em to ee 48 $465 $465 $0 $0 $268,070 $0 $268 070
<br /> Em /Child 8 $652 $562 $89 $8,579 $44,678 $9,293 $62,550
<br />2009 "Right-priced" premiums based on claims & co Em /Children 4 $898 $690 $208 $9,972 $22,339 $10,803 $43,115
<br /> insurance so HMO became more costly plan Em /S ouse 11 $982 $734 $248 $32,731 $61,433 $35,458 $129,621
<br /> Famil 9 $1,396 $949 $447 $48,251 $50,263 $52,273 $150,787
<br /> Total 80 $99,532 $446,784 $107,827 $654,144
<br /> Increased Office Visit co-pays from $10/$20 to Em to ee 38 $522 $522 $0 $0 $238,068 $0 $238,068
<br /> $15/$30 Em /Child 2 $731 $538 $193 $4,639 $10,680 $2,223 $17,542
<br />2008 Added Employee/Child tier Em /Children 0 $1,008 $660 $347 $0 $0 $0 $0
<br /> Em /S ouse 6 $1,102 $702 $400 $28,785 $32,040 $18,485 $79,309
<br /> Famil 0 $1,566 $908 $658 $0 $0 $0 $0
<br /> Total 46 $33,424 $280,788 $20,707 $334,920
<br /> (Participation as of July 2007) Em to ee 29 $476 $476 $0 $0 $165,592 $0 $165,592
<br /> Added 100% covered preventive care Em /Child Not an 0 tion
<br />2007 Em /Children 3 $918 $602 $316 $11,393 $14,603 $7,062 $33,059
<br /> Em /S ouse 4 $1,004 $640 $364 $17,489 $19,471 $11,229 $48,189
<br /> Famil 0 $1,427 $828 $600 $0 $0 $0 $0
<br /> Total 36 $28,883 $199,666 $18,292 $246,840
<br />CJ7
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