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City of Eugene <br /> REVISED Hea/th Insurance Continuation Premium Rates for FY2004 <br /> (February 1, 2004 -Tune 30, 2004) <br /> Continuee/Retiree Monthly Insurance Premium Rates <br /> (Rates Include a 2% Administration Fee) <br /> j <br /> Non-Represented AFSCME-Represented <br /> City Health Plan Medical-Only Med/Dent/Vis City Health Plan Medical-Only Med/Dent/Vis <br /> Individual $299.76 $344.15 Individual $320.97 $365.36 <br /> ! Two-Party $557.52 $635.35 Two-Party $597.01 $674.84 <br /> '~I Family $773.36 $888.84 Family $828.13 $943.61 <br /> I <br /> <br /> ~I <br /> PacificSource Medical-Only Med/Dent/Vis PacificSource Medical-Only Med/DentNis <br /> Individual $207.50 $251.89 Individual $269.41 $313.80 <br /> Two-Party $427.70 $505.53 -Two-Party $553.83 $631.66 <br /> Family $623.24 $738.72 Family $807.19 $922.67 <br /> i <br /> I <br /> EPEA-Represented IAFF-Represented <br /> City Health Plan Medical-Only Med/Dent/Vis City Health Plan Medical-Only Med/Dent/Vis <br /> Individual $307.91 $355.22 Individual $310.69 $356.86 <br /> Two-Party $572.72 $655.69 Two-Party $577.89 $658.78 <br /> Family $794.41 $917.67 Family $801.59 $921:13 <br /> PacificSource Medical-Only Med/Dent/Vis PacificSource Medical-Only Med/Dent/Vis <br /> Individual $217.96 $265.27 Individual $269.78 $315.95 <br /> Two-Party $449.25 $532.22 Two-Party $554.50 $635.39 <br /> Family $654.62 $777.88 Family $808.17 $927.71 <br /> IATSE-Represented <br /> City Health Plan Medical-Only Med/Dent/Vis <br /> Individual $320.97 $365.36 <br /> Two-Party $597.01 $674.84 File Name: ContRates04b.xls <br /> Family $828.13 $943.61 Updated: 30-Dec-03 <br /> <br />