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Employee Employee <br />City Cost for Cost for Employee City Total Monthly <br />*Blue Print ACCORD AWARE Contribution BluePrint Accord Cost for Aware Contribution to City <br />Health Plan Type/Tier (Per Month) Premium Premium Premimum to Premium Network Network Network VEBA Contribution <br />$1,167.00 <br />$1,167.00 <br />$1,167.00 <br />o o o <br />' ' ' <br />,n ,n ,n <br />ry ry ry <br />c-i c-i c-i <br />VT VT VT <br />$1,358.00 <br />$1,358.00 <br />$1,358.00 <br />0 <br />o <br />0 <br />m <br />0 0 <br />0 0 <br />0 0 <br />D D <br />0 0 <br />o m <br />(NI o <br />c c <br />on 00 <br />ry ri <br />- rn <br />ZI llg <br />0 0 <br />0 0 <br />N N <br />0 0 <br />0 0 <br />0 0 <br />o in <br />D ry <br />v <br />(NI o <br />ry ry <br />0 0 <br />Ln 0 <br />cd <br />m <br />ti rn <br />rvr <br />0 <br />0 <br />0 <br />D <br />0 <br />V <br />m <br />0 <br />Ln <br />of <br />ry <br />N <br />i <br />0 <br />0 <br />N <br />0 <br />0 <br />0 <br />o <br />ri <br />o <br />CO <br />r <br />0 <br />m <br />N <br />c <br />$2,033.50 $2,111.00 $1,091.00 NA $942.50 $1,020.00 $160.00 <br />$1,874.00 $1,944.50 $1,091.00 $670.00 $783.00 $853.50 $160.00 <br />$1,653.50 $1,715.00 $1,091.00 $435.50 $562.50 $624.00 $160.00 <br />$2,645.00 $2,742.50 $1,166.00 NA $1,479.00 $1,576.50 $192.00 <br />$2,436.50 $2,529.00 $1,166.00 $1,123.00 $1,270.50 $1,363.00 $192.00 <br />$2,149.00 $2,229.50 $1,166.00 $818.50 $983.00 $1,063.50 $192.00 <br />I I 1 1 I <br />0 <br />o <br />N <br />NA <br />$1,849.50 <br />$1,603.00 <br />NA <br />$1,761.00 <br />$1,526.50 <br />NA <br />$2,289.00 <br />$1,984.50 <br />0 <br />0 <br />0 <br />n <br />m <br />L► <br />Employee + Spouse Plans <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 />Employee + Children Plans <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 $1500/$3000 Ded. Plan w/VEBA <br />BCBS $2500/$5000 Ded. Plan w/VEBA <br />BCBS $4000/8000 Ded. Plan w/VEBA <br />Waivers <br />