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A. 2020 Premium Contributions Based on Existing Insurance Premiums <br />The employer will make the follo tributions to ai=d group health <br />insurance coverage for employees enrolled in the City's health plan during 2020. <br />• • • • • . <br />regular employees. <br />The City's monthly contribution to health insurance in 2020, including the <br />contribution to the health insurance premium and the- I.R.A./v.E.B.A. or H.S.A. <br />(total city contribution per month) are listed below. <br />Total Monthly City Contributions <br />• Employee only (single) City contribution from: $861 I 9 to $938.08 <br />• Employee andChildren City contributions: $1,129.70 <br />• <br />Employee and Spouse City contribution: $1,178.31 <br />• Family City contribution: $1,452.74 <br />Total monthly city contributions listed above include the H.R.A./v.E.B.A. or <br />H.S.A. shown below, as follows: <br />• Single plans with a $4000.deductible receive $194.00 per month toward <br />the H.R.A. .E.B.i 1. or RSA. <br />• Other single plans receive $130.00 per month toward the H.R.A./V .E.B.A. <br />or H.S <br />• All employee + children and employee ± spouse plans will receive <br />$160.00 per month toward the H.R.A./v.E.B .A. or H.S.A. <br />• All family plans will receive $192.00 per month toward the <br />H. .A. ■ .E.B.A. or H.S.A. <br />Provide cash in lieu of City's insurance contribution of $370 per month in 2020. <br />Employees receiving the waiving benefit prior to 2013 will continue to be <br />i - a i w. a i i.. � � � i � � a .N � �. a � a a,.. A. .a r, a • i '.� <br />b <br />subject to the following terms: Employee must show proof of other coverage and <br />agrees to the terms of the waiving benefit as described within the City's policy, <br />signing the acknowledgement form <br />B. 2020 Premium Contributions If There is a Change in Total Premium Cost <br />Due to Change in Insurance Band or Affordable Care Act Premium Taxes <br />The parties understand and agree that the Total Monthly City Contributions <br />described in Paragraph A, above, are based on the currently anticipated total cost <br />of the premiums for the City's $2,500 Perform Network insurance program <br />("Perform Network"). In the event that there are changes to the Perform Network <br />premiums for 2020 due to either: (1) a reduction in premiums; or (2) an increase <br />in premiums due to the imposition of premium taxes under the Affordable Care <br />Act, the Total Monthly City Contribution will be adjusted as follows: <br />