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4.3. & 4.4. SR 07-06-1998
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4.3. & 4.4. SR 07-06-1998
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1/21/2008 8:33:17 AM
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SR
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7/6/1998
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MEDICA PREMIER <br /> <br /> Contract 3PR2 <br />Rates for City of Elk River <br /> <br />Age Current Renewal <br /> <br />00-24 <br />25-29 <br />30-39 <br />40-44 <br />45-49 <br />50-54 <br />55-59 <br />60-64 <br />65-99 <br /> <br />127.28 <br />134.78 <br />146.76 <br />149.76 <br />187.19 <br />224.62 <br />277.04 <br />344.43 <br />381.87 <br /> <br />One Child <br />Two Children <br />Three or More Children <br /> <br />112.32 <br />224.64 <br />224.64 <br /> <br />148.30 <br />157.00 <br />171.00 <br />174.50 <br />218.10 <br />261.70 <br />322.75 <br />401.25 <br />444.90 <br /> <br />130.85 <br />261.70 <br />392.55 <br /> <br />Single <br />Family <br /> <br />DENTAL <br /> <br />17.90 <br />51.00 <br /> <br />19.40 <br />55.35 <br /> <br /> <br />
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