According to the Summary Annual Benefits sent to employees 12/1999 dated for plan year Jan 1, 1998 through Dec 31, 1998: Lucent Technologies Inc Medical Expense Plan for Management Employees PN 502 Total expenses 249,557,000 192,350,000 benefits 24,195,000 admin expenses 33,012,000 HMO premiums (total cost $3712.37/person/year) A total of 67,223 persons were participants in the Plan. Total income 251,973,000 222,234,000 employer contributions 29,609,000 employee contributions 130,000 investment income Lucent Technologies Inc Medical Expense Plan for Occupational Employees PN 503 Total expenses 196,754,000 138,016,000 benefits 16,298,000 admin expenses 42,440,000 HMO premiums (total cost $4374.45/person/year) A total of 44,978 persons were participants in the Plan. Total income 196,754,000 192,133,000 employer contributions 4,525,000 employee contributions 96,000 investment income Average cost/person (Management + Occupational) 249,557,000+196,754,000 total expenses 67,223+44,978 total people covered (249557000+196754000)/(67223+44978) 446,311,000 total expenses 112,201 total people $3,977/person/year Claims admin by: Prudential Insurance Company of America New Jersey Blue Cross/Blue Sheild United HealthCare Empire Blue Cross/Blue Shield US Healthcare Merit Behavioral Care (MBC) IntraCorp Ultralink MEDCO Sykes HealthPlan Services, Inc 126 various HMOs were available at different locations. ==== If 4 covered transsexuals (1/30,000) go through the process, in parallel, taking 5 years each, this averages to .8 person per year spending $25,000 total for HRT+SRS, or an average of $20,000/year additional benefits expenses. 446,311,000 previous expenses 20,000 additional expenses 446,331,000 total including TS benefits .00448% additional cost 18 cents/year/person additional cost