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The employer will make the following contributions toward group health insurance <br />coverage for employees enrolled in the City's plan during 2016. In addition, the City <br />will purchase $20,000 of basic life insurance for full-time regular employees. <br />Health Plan Tier (Per Month) <br />City City Total Monthly <br />Contribution Contribution City <br />to Premium to *VEBA Contribution <br />Single Plans tTBD $130.00 *TBD <br />Employee + Spouse Plans $1007.00 S 160.00 $1,167.00 <br />Employee + Children Plans $1,091.00 $160.00 $1,251.00 <br />Family Plans $1,166.00 S192.00 $1,358.00 <br />* The above listed City VEBA contribution includes a $4.30 per month VEBA <br />administration fee. In 2016, the least expensive single plan (the $4000 deductible <br />plan/Accord network) will be paid in full <br />Or <br />Provide cash in lieu of City's insurance contribution of $370 per month in 2016. <br />Employees receiving the waiving benefit prior to 2013 will continue to be <br />grandfathered in to the waiving benefit. New employees to the program are subject <br />to the following terms: <br />• Employee shows proof of other coverage, and <br />• Employee agrees to the terms of the waiving benefit as described within the <br />City's policy and signs the acknowledgement form, and <br />All other provisions of Article XVII11 shall apply normally. <br />FOR THE CITY OF RAMSEY: <br />BY. ‘ <br />Sarah Strommett, Mayor Date <br />ATTEST: r <br />"/ ' (--k..._ --, <br />urtis G. Ulrich, City Administrator Date <br />FOR LAW ENFO$CEMENT LABOR SERVICES, INC. <br />BY: <br />BY: <br />R�ch�rd Webb, Steward <br />Mi Kim SoKieck LELS, Business Agent <br />Date <br />Dare <br />20 <br />