Exhibit 6.5 Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Plan Type, 2013

HMO - Single

HMO - Family

PPO - Single

PPO - Family

POS - Single

POS - Family

HDHP/SO - Single

HDHP/SO - Family

All Plan Types - Single

All Plan Types - Family

$1,081

$5,124

$1,024

$4,587

$957

$5,590*

$887

$3,649*

$999

$4,565

$4,948

$11,419

$5,008

$12,084

$5,014

$10,840

$4,419*

$11,578

$4,885

$11,786

Worker Contribution Employer Contribution

* Estimate is statistically different from All Plans estimate by coverage type (p<.05).

SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2013.

$6,029$16,543

$6,031

$16,671

$5,972

$16,429

$5,306*

$15,227*

$5,884

$16,351