b'2023 Plan Cost ComparisonThe following health insurance plans are available to Non-Medicare eligible participants. If you have Medicare Part A and Part B due to end stage renal disease, these plans are available to you within the 30-month coordination period. This comparison is to be used as a guide. In case this summary differs from the health plan text or any health plan term or condition, the official contract documentmust govern. While every effort has been made to ensure up-to-date information, CTPF is not responsible for the final adjudication of insurance claims, which are solely the responsibility of the health plan. Blue Cross BlueUnitedHealthcareBlue Cross Blue Shield Shield PPO Choice Plus PPO HMO IllinoisCTPF annuitant cost for single coverage monthly premium cost with CTPF premium subsidy* $840.71 $538.68 $407.12CTPF annuitant + 1 dependentmonthly premium cost with CTPF premium subsidy* $2,942.45 $1,885.37 $1,424.93CTPF annuitant + 2 or more dependentsmonthly premium cost with CTPF premium subsidy* $5,044.21 $3,232.09 $2,442.73^CTPF dependent cost for single coverage (dependents do not receive the CTPF premium subsidy) $2,101.77 $1,346.70 $1,017.80* The annuitant cost is the amount paid for monthly coverage after CTPF applies the health insurance premiumsubsidy. The current subsidy is 60% of total premium cost. See page 12 for more information.^ This is the amount a dependent pays for single coverage in special circumstances when only one family member isMedicare eligible. See www.ctpf.org for additional information about couple coverage.CTPF 2023 HEALTH INSURANCE HANDBOOKCTPF 2023 HEALTH INSURANCE HANDBOOK15'