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4.8. SR 10-21-2019
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4.8. SR 10-21-2019
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10/17/2019 3:10:40 PM
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10/21/2019
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<br />2020 Flexible Benefits Plan Renewal Rates <br /> <br />Single +Spouse +Child(ren) Family <br /> <br />City Contribution <br />636.00 1,223.00 1,172.00 1,681.00 <br />Public Employees Insurance Program <br /> <br />Advantage Plan Monthly <br />Premium 700.30 1,511.24 1,498.78 2,272.82 <br />Monthly Employee Cost 64.30 288.24 326.78 591.82 <br />Annual Employee Cost 771.60 3,458.88 3,921.36 7,101.84 <br /> <br />Value Plan Monthly Premium 631.36 1,360.04 1,349.16 2,044.86 <br />Monthly Employee Cost -4.64 137.04 177.16 363.86 <br />Annual Employee Cost -55.68 1,644.48 2,125.92 4,366.32 <br /> <br />HSA Compatible Plan Mthly Prem 495.08 1,062.60 1,053.54 1,594.48 <br />Monthly Employee Cost -140.92 -160.40 -118.46 -86.52 <br />Annual Employee Cost -1,691.04 -1,924.80 -1,421.52 -1,038.24 <br /> <br />Opt-Out of Medical <br />300.00 <br /> <br /> <br />DeltaDental Monthly Premium <br />40.80 107.98 107.98 107.98 <br /> <br />
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