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2014 Flexible Benefits Plan Renewal <br /> 2014 Coverage Single +Spouse +Child(ren) Family <br /> City Contribution + 549.00 801.00 801.00 1,076.00 <br /> ERRP (2011 Grant) + 13.00 19.00 19.00 26.00 <br /> Life Ins - 4.50 4.50 4.50 4.50 <br /> Single Dental - 37.31 37.31 37.31 37.31 <br /> Remaining for Health Ins = 520.19 778.19 778.19 1060.19 <br /> Medica Choice Passport Network <br /> $25 Co-pay Mthly Premium 636.49 1,393.03 1,380.92 2,103.79 <br /> Monthly Employee Cost 116.30 614.84 602.73 1,043.60 <br /> Annual Employee Cost 1,395.60 7,378.08 7,232.76 12,523.20 <br /> $500 Ded Mthly Premium 551.10 1,206.16 1,195.69 1,821.60 <br /> Monthly Employee Cost 30.91 427.97 417.50 761.41 <br /> Annual Employee Cost 370.92 5,135.64 5,010.00 9,136.92 <br /> $2,500 HDHP Mthly Premium 446.96 978.23 969.73 1,477.33 <br /> Monthly Employee Cost -73.23 200.04 191.54 417.14 <br /> Annual Employee Cost -878.76 2,400.48 2,298.48 5,005.68 <br /> Medica Elect or Essential Network <br /> $2,500 HDHP Mthly Premium 415.67 909.75 901.85 1,373.92 <br /> Monthly Employee Cost -104.52 131.56 123.66 313.73 <br /> Annual Employee Cost -1,254.24 1,578.72 1,483.92 3,764.76 <br /> Opt-Out 300.00 <br /> For 2014 we have decided to use all of the city contribution toward the monthly amount given to flex plan <br /> elections and are not contributing any additional money to employee's HSAs. <br />