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6
<br /> NCHIP RATES ORANGE COUNTY(Pre 65 Retiree)
<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 80 $64,527 $774,326 $0 $774,326
<br /> Employee+Spouse $1,631.71 10 $16,317 $195,805 $49,104 $146,701
<br /> Employee+Child(ren) $1,267.24 12 $15,207 $182,483 $33,106 $149,377
<br /> Employee+Family $2,293.71 3 $6,881 $82,574 $26,454 $56,119
<br /> 105 $102,932 $1,235,188 $108,664 $1,1265524
<br /> Premium TOTAL EMPLOYEE EMPLOYER
<br /> Current CDHP Plan Equivalent Enrollment Monthly cost COST CONTRIBUTION CONTRIBUTION
<br /> FY2020/2021
<br /> Employee Only $680.52 9 $6,125 $73,495 $0 $73,495
<br /> Employee+Spouse $1,369.49 2 $2,739 $32,868 $6,245 $26,623
<br /> Employee+Child(ren) $1,065.16 1 $1,065 $12,782 $1,789 $10,992
<br /> Employee+Family $1,922.26 2 $3,845 $46,134 $11,534 $34,601
<br /> 14 $13,773 $165,279 $19,568 $1455711
<br /> 119 $116,706 $1,400,467 $128,232 $1,272,235
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