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4.5 SR 10-03-2022
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4.5 SR 10-03-2022
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9/30/2022 8:53:16 AM
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City Government
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SR
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10/3/2022
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<br />ЋЉЋЌCƌĻǣźĬƌĻ.ĻƓĻŅźƷƭtƌğƓwĻƓĻǞğƌwğƷĻƭ <br />Single+Spouse+Child(ren)Family <br />City Contribution 604.001,262.001,253.001,770.00 <br />HealthPartners through Sourcewell <br />$1500 HDHP Open Access642.211,392.471,382.022,004.24 <br />Monthly Employee Cost38.21130.47129.02234.24 <br />Annual Employee Cost458.521,565.641,548.242,810.88 <br />$3000 HDHP Open Access569.241,236.021,226.911,769.56 <br />Monthly Employee Cost-34.76-25.98-26.09-0.44 <br />Annual Employee Cost-417.12-311.76-313.08-5.28 <br />$3000 HDHP Achieve540.521,173.141,164.571,674.67 <br />Monthly Employee Cost-63.48-88.86-88.43-95.33 <br />Annual Employee Cost-761.76-1,066.32-1,061.16-1,143.96 <br />Opt-Out of Medical 300.00 <br />40.80 <br />DeltaDental 107.98 <br />Add'l Monthly HSA Contribution 90.0090.0090.0090.00 <br />
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