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Print Agenda Item http:11156.142.212.178:80801frs/publish/print ag memo.cfm?seq-1... <br />Observations: <br />Employee <br />Cost for City <br />Premium Cont. <br />Monthly City Cont. to Prem. per to Total City <br />Premium Per Month Month VEBA Contribution <br />Family <br />100% $30.00 co -pay $2,057.00 $831.56 $1,225.44 NA $831.56 <br />$150053000 Ded. Plan wIVEBA $1,745.00 $1,048.00 $697.00 $192.00 $1,240.00 <br />$2500I$5000 Ded. Plan w/VEBA $1,608.00 $1,048.00 $560.00 $192.00 $1,240.00 <br />$400058000 Ded. Plan w/VEBA $1,418.00 $1,048.00 $370.00 $192.00 $1,240.00 <br />Employee Only <br />100% $30.00 co -pay $791.00 $517.14 $273.86 NA $517.14 <br />$150053000 Ded. Plan w/VEBA $671.00 $570.00 $101.00 $130.00 $700.00 <br />$25001$5000 Ded. Plan w/VEBA $618.50 $570.00 $48.50 $130.00 $700.00 <br />$4000/8000 Ded. Plan wfVEBA $545.00 $545.00 $0.00 $155.00 $700.00 <br />Employee Plus Spouse <br />100% $30.00 co -pay <br />$1,661.00 $831.56 $829.44 NA $831.56 <br />2 of 4 12/8/2011 10:05 AM <br />