Benefits Insurance Premiums

Medical Premiums for Fayetteville, Auxiliary, CJI, and System Office

Premiums Effective	CLASSIC		POINTOF SERVICE		POINT OF SERVICE ALTERNATE PLAN
July 1, 2008	12-Month	9-Month*	12-Month	9-Month*	12-Month	9-Month*
100% Appointed
Employee Only	$63.59	$84.79	$99.10	$132.13	$113.74	$151.66
Employee & Spouse	$142.96	$190.62	$222.75	$297.00	$255.70	$340.93
Employee & Child(ren)	$112.38	$149.83	$175.10	$233.47	$200.97	$267.96
Family	$191.76	$255.68	$298.79	$398.38	$342.95	$457.26
75-99% Appointed
Employee Only	$97.36	$129.81	$136.27	$181.69	$156.41	$208.54
Employee & Spouse	$218.86	$291.82	$306.30	$408.41	$351.62	$468.82
Employee & Child(ren)	$172.04	$229.38	$240.78	$321.05	$276.36	$368.48
Family	$293.56	$391.42	$410.87	$547.82	$471.59	$628.79
66-74% Appointed
Employee Only	$108.61	$144.82	$148.65	$198.20	$170.62	$227.49
Employee & Spouse	$244.17	$325.56	$334.14	$445.51	$383.56	$511.42
Employee & Child(ren)	$191.93	$255.91	$262.66	$350.22	$301.47	$401.95
Family	$327.51	$436.67	$448.20	$597.59	$514.44	$685.92
50-65% Appointed
Employee Only	$131.13	$174.84	$173.41	$231.22	$199.04	$265.38
Employee & Spouse	$294.79	$393.05	$389.79	$519.72	$447.45	$596.60
Employee & Child(ren)	$231.72	$308.96	$306.41	$408.55	$351.68	$468.90
Family	$395.41	$527.21	$522.85	$697.13	$600.12	$800.17

Premiums Effective	CLASSIC		POINTOF SERVICE		POINT OF SERVICE ALTERNATE PLAN
July 1, 2008	12-Month	9-Month*	12-Month	9-Month*	12-Month	9-Month*
100% Appointed
Employee Only