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Print Agonda Item http://156.142.212,178:8080/frslpubiishlprint ag memo.cfm?seq=l... <br />$25001$5000 Ded. Plan w/VEBA $618.50 $570.00 $48,50 $130.00 $700.00 <br />$4000/8000 Ded. Plan wIVEBA $545.00 $545,00 $0.00 $155.00 $700,00 <br />Employee Plus Spouse <br />100% $30,00 co -pay $1,661.00 $831,56 $829.44 NA $831,56 <br />$15001$3000 Ded. Plan wIVEBA $1,409.50 $815,00 $594,50 $160.00 $975.00 <br />$25001$5000 Ded, Plan w/VEBA $1,298.50 $815,00 $483.50 $160.00 $975.00 <br />$4000/8000 Ded. Plan w/VEBA $1,145.00 $815.00 $33 0.00 $160,00 $975.00 <br />Employee Plus Children) <br />100% $30,00 co -pay $1,582.00 $831,56 $750.44 NA $831.56 <br />$15001$3000 Ded. Plan wIVEBA $1,342.00 $890.00 $452,00 $160.00 $1,050,00 <br />$25001$5000 Ded, Plan w/VEBA $1,236.50 $890.00 $346.50 $160.00 $1,050.00 <br />$4000/8000 Ded. Plan w/VEBA $1,090.50 $890,00 $200,50 $160.00 $1,050.00 <br />**The City's 2012 VEBA contribution includes the $4.30 monthly claims fee. <br />2 of 3 12/8/2011 10:17 AM <br />