15
<br /> Enrollment Enrollment Enrollment TOTAL EMPLOYEE EMPLOYER
<br /> PPO HDP Total COST CONTRIBUTION CONTRIBUTION
<br /> ACTIVE 721 197 918 $11,181,542 $1,206,319 $9,975,223
<br /> PRE-65 105 14 119 $1,400,467 $128,232 $1,272,235
<br /> RETIREES
<br /> TOTAL 1037 $12,582,009 $1,334,551 $11,247,458
<br /> Health $1,416
<br /> Savings
<br /> Account
<br /> ACTIVE $278,952 197 $278,952 $0 $278,952
<br /> PRE-65 $19,824 14
<br /> RETIREES $19,824 $0 $19,824
<br /> TOTAL $298,776 $0 $298,776
<br /> ACTIVE $11,460,494 $1,206,319 $10,254,175
<br /> PRE-65 RETIREES $1,420,291 $128,232 $1,292,059
<br /> TOTAL ENROLLMENT AND HEALTH SAVINGS $12,880,785 $1,334,551 $11,546,234
<br /> ACCOUNT
<br /> 1
<br /> 2
<br /> 3 The Monthly/Semi-Monthly rates are listed as follows:
<br /> 4
<br /> NCHIP ORANGE COUNTY
<br /> July 1, 2021-June30, 2022
<br /> Current PPO Plan Premium Monthly Monthly Semi-Monthly Semi Monthly
<br /> Equivalent County Cost Employee Cost County Cost Employee Cost
<br /> Share Share Share Share
<br /> Employee Only $806.59 $806.59 $0.00 $403.30 $0.00
<br /> Employee+Spouse $1,631.71 $1,222.51 $409.20 $611.26 $204.60
<br /> Employee+Child(ren) $1,267.24 $1,037.34 $229.90 $518.67 $114.95
<br /> Employee+Family $2,293.71 $1,558.87 $734.84 $779.44 $367.42
<br /> Current PPO Plan Premium Monthly Monthly Semi-Monthly Semi Monthly
<br /> Equivalent County Cost Employee Cost County Cost Employee Cost
<br /> Share Share Share Share
<br /> Employee Only $680.52 $680.52 $0.00 $340.26 $0.00
<br /> Employee+Spouse $1,369.50 $1,109.29 $260.21 $554.65 $130.11
<br /> Employee+Child(ren) $1,065.16 $916.04 $149.12 $458.02 $74.56
<br /> Employee+Family $1,922.26 $1,441.70 $480.56 $720.85 $240.28
<br /> 5
<br /> 6 Dental and Vision Insurance
<br /> 7
<br /> 8 Delta Dental is the County's Dental provider and Community Eye Care provides the County's
<br /> 9 vision plan. The County will continue to provide coverage with Delta Dental and Community
<br /> 10 Eye Care. Vision premiums are paid 100 percent by employees and to date no increase has
<br /> 11 been proposed by Community Eye Care.
<br /> 12
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