Bargaining Units 3, 6*, 12, and 13

Health Plan

2004 Premiums**

2005 Premiums**

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

 

$89

$180

$231

 

$315

$630

$820

 

$226

$450

$589

 

$129

$260

$334

 

$355

$710

$923

 

$0

$0

$0

 

+ $40

+ $80

+ $103

Kaiser HMO

1-party

2-party

3-party

 

$226

$450

$589

 

$79

$161

$205

 

$305

$611

$794

 

$226

$450

$589

 

$110

$221

$284

 

$336

$671

$873

 

$0

$0

$0

 

+ $31

+ $60

+ $79

Kaiser (out of state)

1-party

2-party

3-party

 

$226

$450

$589

 

$201

$404

$521

 

$427

$854

$1,110

 

$226

$450

$589

 

$250

$502

$648

 

$476

$952

$1,237

 

$0

$0

$0

 

+ $49

+ $98

+ $127

WHA

1-party

2-party

3-party

 

$226

$450

$589

 

$54

$111

$140

 

$280

$561

$729

 

$226

$450

$589

 

$96

$195

$249

 

$322

$645

$838

 

$0

$0

$0

 

+ $42

+ $84

+ $109

PERS Choice

1-party

2-party

3-party

 

$226

$450

$589

 

$123

$249

$319

 

$349

$699

$908

 

$226

$450

$589

 

$140

$282

$363

 

$366

$732

$952

 

$0

$0

$0

 

+ $17

+ $33

+ $44

PERS Care

1-party

2-party

3-party

 

$226

$450

$589

 

$319

$640

$827

 

$545

$1,090

$1,416

 

$226

$450

$589

 

$388

$778

$1007

 

$614

$1228

$1596

 

$0

$0

$0

 

+ $69

+ $138

+ $180

CCPOA North

1-party

2-party

3-party

 

$213

$462

$626

 

$96

$156

$209

 

$309

$618

$834

 

$213

$462

$626

 

$119

$202

$270

 

$332

$664

$896

 

$0

$0

$0

 

+ $23

+ $46

+ $61

CCPOA South

1-party

2-party

3-party

 

$213

$462

$626

 

$44

$52

$68

 

$257

$514

$693

 

$213

$462

$626

 

$61

$86

$114

 

$274

$548

$740

 

$0

$0

$0

 

+ $17

+ $34

+ $46

*  Unit 6 employees receive the State share shown for CCPOA plans, regardless of which plan employee enrolls in.

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