Monthly Rates Effective: July 1, 2006

 MEDICAL PLAN RATES

PREMIER PLUS

PREMIER

STANDARD

BASIC

KAISER

COMPOSITE:

$1,115

$962

$885

$726

$830

TIERED:

Employee Only

$557

$481

$442

$363

$444

Employee + One

$1,059

$914

$841

$690

$887

Employee + Family

$1,394

$1,203

$1,106

$908

$1,255

MEDICARE RATES:

Retiree On Medicare

$368

$317

$292

$240

$216

Ret+One (One Medicare)

$925

$798

$734

$603

$660

Ret+One (Both Medicare)

$736

$634

$584

$480

$432

 DENTAL PLAN RATES

D-1

D-2

D-3

D-4

Premier:

No Ortho

Child Only Ortho

Adult/Child Ortho

Child Orth/70% Pros

Composite

$83

$86

$87

$92

Employee Only

$42

$42

$44

$49

Employee + One

$78

$81

$82

$87

Employee + Family

$113

$116

$118

$124

A $1,500

B $2,000

A $1,500

B $2,000

Child Ortho

Adult/Ch Orth

Premier Add-on Costs:

D1, D2, D3

D1, D2, D3

D4

D4

to $1,000

to $1,000

Composite

$10.00

$15.50

$11.00

$17.00

$2

$3

Employee Only

$5.00

$8.00

$6.00

$9.00

$2

$3

Employee + One

$9.50

$14.50

$10.50

$16.00

$2

$3

Employee + Family

$13.50

$21.00

$15.00

$23.00

$2

$3

D-1 DPO

D-2 DPO

D-3 DPO

Delta Preferred Option (DPO):

No Ortho

Child Only Ortho

Adult/Child Ortho

Composite

$63

$65

$66

Employee Only

$32

$32

$33

Employee + One

$59

$61

$62

Employee + Family

$85

$87

$89

A $1,500

B $2,000

Child Ortho

Adult/Ch Orth

DPO Add-on Costs:

Annual Max

Annual Max

to $1,000

to $1,000

Composite

$8

$12

$2

$3

Employee Only

$4

$6

$2

$3

Employee + One

$7

$11

$2

$3

Employee + Family

$10

$16

$2

$3

 VISION PLAN RATES

Copay

PLAN A

$0

$5

$10

$15

Composite

$15

$14

$13

$12

Employee Only

$9

$8

$7

$6

Employee + One Dependent

$14

$13

$12

$11

Employee + Family

$24

$23

$22

$21

Copay

PLAN B

$0

$5

$10

$15

Composite

$18

$17

$16

$15

Employee Only

$11

$10

$9

$8

Employee + One Dependent

$16

$15

$14

$13

Employee + Family

$29

$28

$27

$26

Copay

PLAN C

$0

$5

$10

$15

Composite

$23

$22

$21

$20

Employee Only

$14

$13

$12

$11

Employee + One Dependent

$21

$20

$19

$18

Employee + Family

$36

$35

$34

$33