Health Premium Cost Sharing

Bargaining Units 1, 4, 5, 9, 10, 11, 14, 15, 20, and 21

Health Plan

2003 Premiums (monthly)*

2004 Premiums (monthly)*

Dollar Change*

State share

Employee share

Total premium

State share

Employee share

Total premium

State

Employee

Blue Shield HMO

1-party

2-party

3-party

$226

$450

$589

$41

$85

$106

$267

$535

$695

$258

$514

$661

$57

$116

$159

$315

$630

$820

+ $32

+ $64

+ $72

+ $16

+ $31

+ $53

Kaiser HMO

1-party

2-party

3-party

$226

$450

$589

$33

$68

$85

$259

$518

$674

$258

$514

$661

$47

$97

$133

$305

$611

$794

+ $32

+ $64

+ $72

+ $14

+ $29

+ $48

Kaiser (out of state)

1-party

2-party

3-party

$226

$450

$589

$130

$261

$336

$356

$711

$925

$258

$514

$661

$169

$340

$449

$427

$854

$1,110

+ $32

+ $64

+ $72

+ $39

+ $79

+ $113

WHA

1-party

2-party

3-party

$209

$418

$543

$209

$418

$543

$258

$514

$661

$22

$47

$68

$280

$561

$729

+ $49

+ $96

+ $118

+ $22

+ $47

+ $68

PERS Choice

1-party

2-party

3-party

$226

$450

$589

$70

$142

$181

$296

$592

$770

$258

$514

$661

$91

$185

$247

$349

$699

$908

+ $32

+ $64

+ $72

+ $21

+ $43

+ $66

PERS Care

1-party

2-party

3-party

$226

$450

$589

$322

$646

$836

$548

$1,096

$1,425

$258

$514

$661

$287

$576

$755

$545

$1,090

$1,416

+ $32

+ $64

+ $72

- $35

- $70

- $81

CAHP Health Trust**

1-party

2-party

3-party

$231

$459

$601

$19

$39

$57

$307

$610

$798

$263***

$523***

$673***

$27

$50

$73

$358

$695

$909

+ $32

+ $64

+ $72

+ $8

+ $11

+ $16

* Figures have been rounded to the nearest dollar, so amounts that appear on paychecks will vary slightly from chart.

** CAHP subsidizes its members' premiums, which results in the employee costs shown above.

*** CAHP allocated a portion of the State's 2004 dental contribution to the health contribution.