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PPO Participation and Costs for Pre-65 Retirees
<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 />Retirees
<br />
<br />
<br />
<br />remium
<br />
<br />Orange
<br />County
<br />Contribution
<br />Retiree
<br />Contribution
<br />(Dependents
<br />Only)
<br />
<br />Retiree Cost
<br />for
<br />Dependents Retiree
<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 /> Retiree 12 $585 $585 $0 $0 $84,294 $0 $84,294
<br />2012 Ret/Child 0 $820 $707 $112 $0 $0 $0 $0
<br />15% Ret/Children 0 $1,130 $868 $261 $0 $0 $0 $0
<br />Projected Ret/S ouse 2 $1,235 $923 $312 $7,485 $14,049 $8,109 $29,643
<br />Increase Famil 1 $1,756 $1,194 $562 $6,744 $7,024 $7,306 $21,074
<br /> Total 15 $14,229 $105,367 $15,415 $135,010
<br /> $1000 allowance for hearing aids Retiree 12 $509 $509 $0 $0 $73,299 $0 $73,299
<br /> Mental health visits covered at 100% Ret/Child 0 $713 $615 $98 $0 $0 $0 $0
<br />2011 Opened dependent status to all children up to Ret/Children 0 $982 $755 $227 $0 $0 $0 $0
<br /> age 26 Ret/S ouse 2 $1,074 $803 $271 $6,509 $12,216 $7,051 $25,776
<br /> Famil 1 $1,527 $1,038 $489 $5,864 $6,108 $6,353 $18,325
<br /> Total 15 $12,373 $91,624 $13,404 $117,400
<br /> Provided $0 generics Retiree 12 $478 $478 $0 $68,826 $0 $68,826
<br /> Increased Physical Therapy visits by 50% Ret/Child 0 $669 $577 $92 $0 $0 $0 $0
<br />2010 Added 100% covered visits to Convenience Ret/Children 0 $922 $709 $213 $0 $0 $0 $0
<br /> Care Clinics Ret/S ouse 1 $1,008 $754 $255 $3,056 $5,736 $3,310 $12,102
<br /> Removed student status criteria for children Ret/Famil 0 $1,434 $975 $459 $0 $0 $0 $0
<br /> over 19 Total 13 $3,056 $74,562 $3,310 $80,928
<br /> Added Health Advisor program Retiree 10 $465 $465 $0 $0 $55,848 $0 $55,848
<br /> Ret/Child 0 $652 $562 $89 $0 $0 $0 $0
<br />2009 "Right-priced" premiums based on claims & co Ret/Children 0 $898 $690 $208 $0 $0 $0 $0
<br /> insurance so HMO became more costly plan Ret/S ouse 1 $982 $734 $248 $2,976 $5,585 $3,223 $11,784
<br /> Ret/Famil 0 $1,396 $949 $447 $0 $0 $0 $0
<br /> Total 11 $2,976 $61,433 $3,223 $67,632
<br /> Increased Office Visit co-pays from $10/$20 to Retiree 12 $522 $522 $0 $0 $75,180 $0 $75,180
<br /> $15/$30 Ret/Child 0 $731 $538 $193 $0 $0 $0 $0
<br />2008 Added Employee/Child tier Ret/Children 0 $1,008 $660 $347 $0 $0 $0 $0
<br /> Ret/S ouse 1 $1,102 $702 $400 $4,797 $5,340 $3,081 $13,218
<br /> Ret/Famil 0 $1,566 $908 $658 $0 $0 $0 $0
<br /> Total 13 $4,797 $80,520 $3,081 $88,398
<br /> (Participation as of July 2007) Retiree 16 $476 $476 $0 $0 $91,361 $0 $91,361
<br /> Added 100% covered preventive care Retiree/Child Not an o tion
<br />2007 Retiree/Children 0 $918 $602 $316 $0 $0 $0 $0
<br /> Ret/S ouse 3 $1,004 $640 $364 $13,117 $14,603 $8,422 $36,142
<br /> Ret/Famil 0 .$1,427 $828 $600 $0 $0 $0 $0
<br /> Total 19 $13,117 $105,964 $8,422 $127,503
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