BCBS Insurance with Participating Funding Arrangement (PFA) administered by RSI MEDICAL PLAN DESIGN Individual Full BCBS Deductible $4,500 - Your Deductible $500 = BB&N Pays $4,000 Two-Party & Family Full BCBS Deductible $9,000 - Your Deductible $1,000 = BB&N Pays $8,000 HMO Individual Full BCBS Deductible $4,500 - Your Deductible $750 = BB&N Pays $3,750 Two-Party & Family Full BCBS Deductible $9,000 - Your Deductible $1,500 = BB&N Pays $7,500 HMO High-Deductible Plan (HDP) BCBS HMO Member Responsibility: Per Member $500 Family Maximum $1,000 BCBS HMO HDP Member Responsibility: Per Member $750 Family Maximum $1,500