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<br />2021 Flexible Benefits Plan Renewal Rates <br /> <br />Single +Spouse +Child(ren) Family <br /> <br />City Contribution 668.00 1,284.00 1,231.00 1,765.00 <br /> <br />Public Employees Insurance Program <br /> <br />Advantage Plan Monthly Premium 767.18 1,657.58 1,643.90 2,493.80 <br />Monthly Employee Cost 99.18 373.58 412.90 728.80 <br />Annual Employee Cost 1,190.16 4,482.96 4,954.80 8,745.60 <br /> <br />Value Plan Monthly Premium 691.48 1,491.56 1,479.62 2,243.50 <br />Monthly Employee Cost 23.48 207.56 248.62 478.50 <br />Annual Employee Cost 281.76 2,490.72 2,983.44 5,742.00 <br /> <br />HSA Compatible Plan Mthly Prem 541.84 1,164.98 1,155.02 1,748.98 <br />Monthly Employee Cost -126.16 -119.02 -75.98 -16.02 <br />Annual Employee Cost -1,513.92 -1,428.24 -911.76 -192.24 <br /> <br />Opt-Out of Medical 300.00 <br /> <br /> <br />DeltaDental Monthly Premium 40.80 107.98 107.98 107.98 <br /> <br />