b'2025 Plan Cost ComparisonThis 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 BlueBlue Cross Blue Shield Shield PPO HMO IllinoisCTPF annuitant cost for single coverage monthly premium cost with CTPF premium subsidy* $661.65 $449.45CTPF annuitant + 1 dependent monthly premium cost with CTPF premium subsidy*$2,315.74 $1,573.10CTPF annuitant + 2 dependentsmonthly premium cost with CTPF premium subsidy* $3,969.85 $2,696.72CTPF dependent cost for single coverage ^(dependents do not receive the CTPF premium subsidy)$1,654.11 $1,123.62* 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. ^ 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 2025 NON-MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2025 NON-MEDICARE HEALTH INSURANCE HANDBOOK 3'