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2016 2017 <br /> Employee Employee Employee& <br /> HD A A Employee Cost with Employee Cost with Spouse <br /> i Cost Wellness Cost Wellness Wellness Rate <br /> Employee Only $ 52.41 S 40.02 $ 54.51 $ 22.51 NA <br /> EE& Souse Only $ 126.00 $ 61.20 $ 131.04 $ 99.04 $ 67.04 <br /> Employee& <br /> Child(ren)Only $ 73.60 $ 41.00 $76.54 $ 44.54 NA <br /> Employee& <br /> Family $ 132.97 S 68.17 $ 138.29 $ 106.29 S 74.29 <br /> Employee& <br /> Spouse Surcharge $ 156.00 $ 91.20 $ 166.04 $ 134.04 $ 102.04 <br /> Employee& <br /> Family Surcharge $ 162.97 $ 98.17 S 173.29 $ 141.29 $ 109.29 <br /> Retiree Cost Share Per Month-Active Union Member <br /> 2016-PPO 2017-PPO 2016-HRA 2017-HRA <br /> Employee S200.00 5210.00 S 125.()0 S 132.00 <br /> Employee& Spouse 5600.00 S630.00 5375.00 S394.00 <br /> Employee& Children S435.00 $457.00 5280.00 5294.00 <br /> Employee& Family 5835.00 $877.00 5530.00 S557.00 <br /> Retiree Cost Share Per Month-Non :'Lctive Union Member <br /> 2016-PPO 2017-PPO 21116-11RA 2016- HRA <br /> Employee ~250.00 S260.00 S175.00 $182.00 <br /> Employee& Spouse 5650.00 S680.00 5425.00 S444.00 <br /> Employee&Children 5485.00 5507.00 S325.00 S-144. <br /> Employee& Family $885.00 S927.00 I 5580.00 S607.00 <br />