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JULY 1, 1996, HEALTH INSURANCE <br />Non-Union Employees <br />Employee Group <br />Canirect Date <br />Canier <br />Health <br />Dental <br />Life <br />Total <br />City Contribution <br />Employee Share <br />Biweekly ~ayrotl.i •. <br />l7aducbort. ,. <br />Employees Enrolled <br />Type of Coverage <br />Office Co-pay <br />Prescription Co-pay <br />Deductible <br />All Employees <br />August 1, 1994 <br />Health Partners <br />Shale Fami <br />158.89 503. <br />21.63 21. <br />17 <br />Police Union <br />October 1, 1994 <br />Modica <br />Single Family <br />81.47 281 <br />21.63 21 <br />8.25 6 <br />8 <br />Police Union <br />January 1, 1995 <br />Modica <br />Single Family <br />61.18 266. <br />21.63 21. <br />6.25 6. <br />109.06 314 <br />109.06 <br />8 <br />Non-Union Employees <br />October 1, 1994 <br />Health Partners <br />Single Family <br />210.37 661 <br />21.83 2' <br />29 <br />Non-Union Employees <br />July 1.1995 <br />Medics Chamber <br />Premier Plan (11 <br />Single Family <br />156.54 50' <br />21.63 2' <br />6.25 I <br />34 (2) <br />Non-Union Employees <br />July 1.1995 <br />Medics Chamber <br />Choice Plan f11 <br />Single Famil <br />159.49 510.68 <br />21.63 21.63 <br />187.37 <br />34 (2) 13 <br />hensive <br />C C <br />ehensive nsive <br />Com o-pay Pay <br />O 1 1 1 <br />~ I I p <br />I ~ <br />I I I I 9.tH1 <br />I <br /> 0 OO 0.~ 0 OO O.OO <br />N 0. 0.OO 0.00 0.OO 10%; 500tyr m <br />(1) Tha Medics Chamber plan offers a three year contrail with mawmum rate increases of six percent per year. <br />The rates stated are worst case; rates will be determined based an heaNh history information. <br />These are average rates; like the union contract, the rates change each Time a dependent is added cr deleted. <br />All rates under this plan are age based. <br />The Premier Plan requires selection of a primary physician within the network. The Choice Plan allows use of any network physician. <br />(2) Two of the 33 eligible waive coverage. Does not include Zoning Assistant <br />6/2/96 H~S.XLS • • <br />