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

Health Plan	2004 Premiums (monthly)**			2005 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	$258 $514 $661	$57 $116 $159	$315 $630 $820	$284 $564 $728	$71 $146 $195	$355 $710 $923	+ $26 + $50 + $67	+ $14 + $30 + $36
Kaiser HMO 1-party 2-party 3-party	$258 $514 $661	$47 $97 $133	$305 $611 $794	$284 $564 $728	$52 $107 $145	$336 $671 $873	+ $26 + $50 + $67	+ $5 + $10 + $12
Kaiser (out of state) 1-party 2-party 3-party	$258 $514 $661	$169 $340 $449	$427 $854 $1,110	$284 $564 $728	$192 $388 $509	$476 $952 $1,237	+ $26 + $50 + $67	+ $23 + $48 + $60
WHA 1-party 2-party 3-party	$258 $514 $661	$22 $47 $68	$280 $561 $729	$284 $564 $728	$38 $81 $110	$322 $645 $838	+ $26 + $50 + $67	+ $16 + $34 + $42
PERS Choice 1-party 2-party 3-party	$258 $514 $661	$91 $185 $247	$349 $699 $908	$284 $564 $728	$82 $168 $224	$366 $732 $952	+ $26 + $50 + $67	- $9 - $17 - $23
PERS Care 1-party 2-party 3-party	$258 $514 $661	$287 $576 $755	$545 $1,090 $1,416	$284 $564 $728	$330 $664 $868	$614 $1,228 $1,596	+ $26 + $50 + $67	+ $43 + $88 + $113
CAHP Health Trust*** 1-party 2-party 3-party	$263 $523 $673	$27 $50 $73	$358 $695 $909	$289 $573 $740	$28 $52 $77	$390 $758 $991	+ $26 + $50 + $67	+ $1 + $2 + $4

* Unit 5 employees receive the State share shown for CAHP plan, 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.

*** CAHP subsidizes member premiums, resulting in the employee costs listed. In addition, CAHP allocated a portion of the State's dental contribution to the health contribution.