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Attachment 1 <br />Draft 2004 Monthly Health Insurance Rates <br />Blue Cross Blue Care Plan <br /> Total Cost Paid by the County Paid by the Employee <br /> Old New Old New Old New <br />Employee Only $312.44 $355.61 $312.44 $355.61 $0.00 $0.00 <br />Employee/Child(ren) $603.00 $686.34 $463.53 $527.59 $139.47 $158.75 <br />Employee/Spouse $658.94 $750.01 $492.62 $560.70 $166.32 $189.31 <br />Employee/Family $937.30 $1,066.83 $637.37 $725.44 $299.93 $341.39 <br />Blue Cross Blue Options Plan <br /> Total Cost Paid by the County Paid by the Employee <br /> Old New Old New Old New <br />Employee Only $350.18 $398.58 $350.18 $398.58 $0.00 $0.00 <br />Employee/Child(ren) $675.80 $769.20 $463.53 $527.59 $212.27 $241.61 <br />Employee/Spouse $738.82 $840.92 $492.62 $560.70 $246.20 $280.22 <br />Employee/Family $1,050.48 $1,195.67 $637.37 $725.44 $413.11 $470.23 <br />CIGNA Healthcare <br /> Total Cost Paid by the County Paid by the Employee <br /> Old New Old New Old New <br />Employee Only $296.40 $347.40 $296.40 $347.40 $0.00 $0.00 <br />Employee/Child(ren) $572.27 $670.73 $463.53 $527.59 $108.74 $143.14 <br />Employee/Spouse $624.86 $732.40 $492.62 $560.70 $132.24 $171.70 <br />Employee/Family $876.34 $1,027.16 $637.37 $725.44 $238.97 $301.72 <br />5 <br />Note: Rates are based upon a dependent subsidy of 52 percent calculated on the Blue Care Plan with the same <br />dollar amount then applied to the Blue Options and CIGNA Plans. <br />