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a <br />Anacnmem <br />Draft 2002 Monthly Hcal[h insuraure Ra[rs <br />Blve Cross Personal Care Plan (RMO) <br /> Tutel Cost Paid by the <br />Coun Paid by the <br />ee <br /> UIJ Nrn OIJ New Old New <br />Employee Only 323153 $24994 $23L9 $24994 50.00 $0.00 <br />Employee/CNIdQeu) 446.Rfi 482A0 91]66 942.92 $129.20 $139.4A <br />Employeel9pou~e 488.31 52].16 134.24 360. d3 $1540] $16633 <br />Employee/Family 6Y4.59 949.R4 416.]5 449.Y0 $299.R4 3299.94 <br />Blu¢ Cross Preferred Provider Plan <br /> Total Cost Paid by the <br />Coua Paid by [he <br />F,m to ee <br /> Old New Ola New Old New <br />Employee Only $25450 $280.14 $259.50 8280.14 $0.00 $0.00 <br />Emplayee/Child(een) 500.81 540.66 11].6fi 342.92 $163.11 $19'192 <br />Employee/9pouae 54]51 591.Ofi 33414 360.83 $2112] $230.29 <br />Employee/FamaY JJAAJ 84038 416]5 449.9p 536192 $39048 <br />CIGNA RealMrare (HMO) <br /> Total Cost Peid by the <br />Couu Paid by the <br />Em to ee <br /> ota rvew oia new ola New <br />Employee Ovly 523 L00 $26134 $231.00 $26334 $0.00 $0.00 <br />Employee/Q~iIJ(ren) 446.00 50844 31].66 142.92 $12634 $165.52 <br />Emplayee/Spouse 48200 555.18 Ud 24 360.83 5152.]6 $194.15 <br />EmPlcyee/FemlY fi81 UIl 9]6.62 41695 449.90 $26625 $328.]2 <br />t~x~mmraoxanirn.eraganomxo) <br />