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Employee Employee
<br />City Cost for Cost fo r
<br />ACCORD AWARE Contribution to Accord Aware
<br />HeelthPlan Typefrrer(Per Month} Premium Premimum Premium Network Network VEBA
<br />Single Plans
<br />BCBS 100% $30.00 co -pay
<br />BCBS $1500 Ded. Plan w/VEBA
<br />BCBS $2500 Ded. Plan w/VEBA
<br />BCBS $4000 Ded_ Plan w/VEBA
<br />Employee + Spouse Plan s
<br />BCBS 100% $30.00 co -pay
<br />BCBS $1500/$3000 Ded_ Plan w/VEBA
<br />BCBS $2500/$5000 Ded. Plan w/VEBA
<br />BCBS $4000/8000 Ded_ Plan wfVEBA
<br />City Total City
<br />Contribution to Contribution
<br />Option C
<br />-
<br />$972.00 $1,0138 50 $517.14 $454.86 $491.36 NA $517.14
<br />$825.00 $855.50 $670.00 $155.00 $185.50 $130.00 $800.00
<br />$760.00 $788.50 $670.00 $90.00 $118.50 $130.00 $800.00
<br />$670.00 $695.00 $670.00 0 $25.00 $130_00 $800.00
<br />I
<br />$2,041.50 $2,118.50 $831.56 $1,209.94 $1,286.94 NA
<br />$1,733.00 $1,797.50 $932.00 $801.00 $865.50 $160.00
<br />$1,596.50 $1,656.50 $932.00 $664.50 $724.50 $160.00
<br />$1,408.00 $1,460.50 $932.00 $476.00 $528.50 $160.00
<br />1
<br />Employee + Children Plans
<br />BCBS 100% $30.00 co -pay
<br />BCBS $1500/$3000 Ded. Plan w/VEBA
<br />BCBS $2500/$5000 Ded. Plan w/VEBA
<br />BCBS $4000/8000 Ded_ Plan w/VEBA
<br />Family Plans
<br />BCBS 100% $30.00 co -pay
<br />BCBS $1500/$3000 Ded. Plan w/VEBA
<br />BCBS $2500/$5000 Ded. Pion w/VEBA
<br />BCBS $4000/8000 Ded_ Plan w/VEBA
<br />Waivers
<br />S1,945.00 $2,01800 $831.56 $1,113.44 $1,186.44 NA
<br />S1,649.50 $1,712.00 $1,016.00 $633.50 $696.00 $160.00
<br />$1,520.00 $1,577.00 $1,016.00 $504.00 $561.00 $160.00
<br />$1,340.50 $1,391_00 $1,016.00 $324.50 $375.00 $160_00
<br />$2,529.00 $2,623.50 $831.56 $1,697.44 $1,791.94 NA
<br />$2,145.50 $2,225.00 $1,166.00 $979.50 $1,059_00 $192.00
<br />$1,976_50 $2,051.50 $1,166.00 $810.50 $ 5.50 $192.00
<br />$1,743.00 $1,808.50 $1,166.00 $577.00 $642.50 $19200
<br />IIN
<br />I
<br />i
<br />r
<br />• (Waivers)
<br />**The City's 2014 VEBA contribution includes the $4.30 monthly claims fee.
<br />$831.56
<br />$1,092.00
<br />$1,092.00
<br />$1,092.00
<br />$831.56
<br />$1,176.00
<br />$1,176.00
<br />$1,176.00
<br />$831.56
<br />$1,358.00
<br />$1,358.00
<br />$1,358.00
<br />The motion for the adoption of the foregoing resolution was duly seconded by Councilmember
<br />, and upon vote being taken thereon, the following voted in favor thereof:
<br />and the following voted against the same:
<br />and the following abstained:
<br />and the following were absent:
<br />Whereupon said resolution was declared duly passed and adopted by the Ramsey City Council
<br />this the 10th day of December 2013.
<br />ATTEST:
<br />City Clerk
<br />Mayor
<br />Resolution #13-12-229
<br />
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