BCBS Insurance with Participating Funding Arrangement (PFA) administered by RSI MEDICAL PLAN DESIGN Individual Full BCBS Deductible $4,000 - Your Deductible $1,000 = BB&N Pays $3,000 Two-Party & Family Full BCBS Deductible $8,000 - Your Deductible $2,000 = BB&N Pays $6,000 PPO HDP Plan BCBS PPO HDP Member Responsibility: Per Member $1,000 Family Maximum $2,000
BB&N Open Enrollment Presentation 2025-2026 Page 10 Page 12