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5.4.B. SR 11-09-2009
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5.4.B. SR 11-09-2009
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11/6/2009 11:57:24 AM
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2~~~ Health and Dental insurance ~ne~al <br />City Contribution <br />Life Ins <br />Single Dental <br />Remaining for I~eafth Ins <br />$25 Co-pay Mthly Premium <br />Monthly Employee Cost <br />$500 Ded Mthly Premium <br />Monthly Employee Cast <br />$2,400 HDHP Mthly Premium <br />Monthly Employee Cost <br />Monthly HSA Contribution <br />Si__ngle +Spouse +Child ren Family <br />449.OD 556.00 656.00 882, 00 <br />4.5D 4.50 4.50 4, 50 <br />37.69 37.69 37.69 37,69 <br />406.81 613, 81 613.81 839.81 <br />506, 84 1,1 D9.28 1, 099.65 1, 675.27 <br />104.03 495.47 485,84 835.46 <br />438.85 960.48 952.14 1,450.55 <br />32,04 346.67 338.33 61 D.74 <br />355, 92 778.97 772.21 1,176.42 <br />-50.89 165.16 158.40 336,61 <br />20.OD 20.00 20.00 20.00 <br />
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