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5
<br /> ATTACHMENT 1
<br /> Breakdown of the Total Health Insurance Budget by Enrollment
<br /> NCHIP RATES ORANGE COUNTY(TOTAL)
<br /> July 1,2021-June 30,2022
<br /> Current PPO Plan Premium Enrollment Monthly cost TOTAL EMPLOYEE EMPLOYER
<br /> Equivalent COST CONTRIBUTION CONTRIBUTION
<br /> Employee Only $806.59 561 $452,497 $5,429,964 $0 $5,429,964
<br /> Employee+Spouse $1,631.71 45 $73,427 $881,123 $220,968 $660,155
<br /> Employee+Child(ren) $1,267.24 187 $236,974 $2,843,687 $515,896 $2,327,791
<br /> Employee+Family $2,293.71 33 $75,692 $908,309 $290,997 $617,313
<br /> 826 $838,590 $10,063,083 $1,053,453 $9,035,223
<br /> Premium TOTAL EMPLOYEE EMPLOYER
<br /> Current CDHP Plan Equivalent Enrollment Monthly cost COST CONTRIBUTION CONTRIBUTION
<br /> FY2020/2021
<br /> Employee Only $680.52 116 $78,939 $947,270 $0 $947,270
<br /> Employee+Spouse $1,369.49 19 $26,020 $312,244 $59,326 $252,918
<br /> Employee+Child(ren) $1,065.16 48 $51,128 $613,532 $85,893 $527,639
<br /> Employee+Family $1,922.26 28 $53,823 $645,879 $161,472 $484,408
<br /> 211 $209,910 $2,518,925 $352,399 $2,212,235
<br /> 1037 $1,048,501 $12,582,008 OMM $11,247,458
<br /> NCHIP RATES ORANGE COUNTY(Active)
<br /> July 1,2021-June 30,2022
<br /> Current PPO Plan Premium Enrollment Monthly cost TOTAL EMPLOYEE EMPLOYER
<br /> Equivalent COST CONTRIBUTION CONTRIBUTION
<br /> Employee Only $806.59 481 $387,970 $4,655,637 $0 $4,655,637
<br /> Employee+Spouse $1,631.71 35 $57,110 $685,318 $171,864 $513,454
<br /> Employee+Child(ren) $1,267.24 175 $221,767 $2,661,204 $482,790 $2,178,414
<br /> Employee+Family $2,293.71 30 $68,811 $825,736 $264,542 $561,193
<br /> 721 $735,658 $8,827,895 $919,196 $7,908,699
<br /> Premium TOTAL EMPLOYEE EMPLOYER
<br /> Current CDHP Plan Equivalent Enrollment Monthly cost COST CONTRIBUTION CONTRIBUTION
<br /> FY2020/2021
<br /> Employee Only $680.52 107 $72,815 $873,775 $0 $873,775
<br /> Employee+Spouse $1,369.49 17 $23,281 $279,376 $53,081 $226,295
<br /> Employee+Child(ren) $1,065.16 47 $50,063 $600,750 $84,104 $516,647
<br /> Employee+Family $1,922.26 26 $49,979 $599,745 $149,938 $449,807
<br /> 197 $196,137 $2,353,646 $287,122 $2,066,524
<br /> 918 $931,795 $11,181,541 $1,206,319 $95975,223
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