Agenda - Council Work Session - 12/10/2013

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Total City Contribution Per Contract Option A $517.14 $767.00 $767.00 $784.00 $831.56 $1,068.00 $1,068.00 $1,068.00 00 00 00 9S'T£8$ $831.56 $1,358.00 $1,358.00 $1,358.00 I 00'S6Z$ 1 Employee Employee City Cost for Cost for City ACCORD AWARE Contribution to Accord Aware Contribution to Health Plan Type /Tier (Per Month) Premium Premimum Premium Network Network VEBA Single Plans BCBS 100% $30.00 co -pay $972.00 $1,008.50 $517.14 $454.86 $491.36 NA BCBS $1500 Ded. Plan w /VEBA $825.00 $855.50 $637.00 $188.00 $218.50 $130.00 BCBS $2500 Ded. Plan w /VEBA $760.00 $788.50 $637.00 $123.00 $151.50 $130.00 BCBS $4000 Ded. Plan w /VEBA $670.00 $695.00 $670.00 0 $25.00 $114.00 Employee + Spouse Plans BCBS 100% $30.00 co -pay $2,041.50 $2,118.50 $831.56 $1,209.94 $1,286.94 NA BCBS $1500/$3000 Ded. Plan w /VEBA $1,733.00 $1,797.50 $908.00 $825.00 $889.50 $160.00 BCBS $2500/$5000 Ded. Plan w /VEBA $1,596.50 $1,656.50 $908.00 $688.50 $748.50 $160.00 BCBS $4000/8000 Ded. Plan w /VEBA $1,408.00 $1,460.50 $908.00 $500.00 $552.50 $160.00 Employee + Children Plans BCBS 100% $30.00 co -pay $1,945.00 $2,018.00 $831.56 $1,113.44 $1,186.44 NA BCBS $1500/$3000 Ded. Plan w /VEBA $1,649.50 $1,712.00 $990.00 $659.50 $722.00 $160.00 BCBS $2500/$5000 Ded. Plan w /VEBA $1,520.00 $1,577.00 $990.00 $530.00 $587.00 $160.00 BCBS $4000/8000 Ded. Plan w /VEBA $1,340.50 $1,391.00 $990.00 $350.50 $401.00 $160.00 Family Plans BCBS 100% $30.00 co -pay $2,529.00 $2,623.50 $831.56 $1,697.44 $1,791.94 NA BCBS $1500/$3000 Ded. Plan w /VEBA $2,145.50 $2,225.00 $1,166.00 $979.50 $1,059.00 $192.00 BCBS $2500/$5000 Ded. Plan w /VEBA $1,976.50 $2,051.50 $1,166.00 $810.50 $885.50 $192.00 BCBS $4000/8000 Ded. Plan w /VEBA $1,743.00 $1,808.50 $1,166.00 $577.00 $642.50 $192.00 saaAlef 1 I (Waivers)I