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2 •ty total monthly-coiitribiitions for 2020 health • <br />• <br />A. 2020 Premium Contributions Based on Existing Insurance Premiums <br />for employees enrolled in the City's health plan during 2020. In addition, the City will <br />purchase $20,000 of basic life insurance for full time regular employees. <br />The City's monthly contribution to health insurance in 2020, including the contribution <br />health insurance premium and the H.R.A.IV.E.B.A. or H.S.A. (total city contribution <br />per month) are listed below. <br />Total Monthly City Contributions <br />• Employee only (single) City contribution from: $861.49 to $938.08 <br />• Employee and Children City contributions: $1,129.70 <br />• Employee and Spouse City contribution: $1,17831 -------' <br />• Family City contribution: $1,452.7d <br />Total monthly city contributions listed above include the H.R.A.N.E.BA. or H.S.A. shown <br />belowTas-fellewR <br />• Single plans with a $'1000 deductible receive $19/1.00 per month toward the <br />H.R.A.N.E.B.A. or H.S.A. <br />• Other single plans receive $130.00 per month toward the H.RA.N.E.B.A. or H.S.A. <br />• All employee + children and employee + spouse plans will receive $160.00 per month <br />toward the H.R.A.N.E.B.A. or H.S.A. <br />• All family plans will receive $192,00 per month toward the H.RA.N.E.B.A. or <br />H.S.A. <br />- <br />Or <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 />grandfathered in to the waiving benefit. Other employees to the program are subject <br />to the following terrns: Employee must show proof of other coverage and agrees to the <br />terms of the waiving benefit as described within the City's policy, signing the <br />acknowledgement form <br />B. 2020 Premium Contributions If There is a Change in Total Premium Cost Due <br />to Change in Insurance Band or Affordable Care Act Premium Taxes <br />• <br />in Paragraph A, above, are based on the currently anticipated total cost of the <br />premiums for the City's $2,500 Perform Network insurance program ("Perform <br />Network"). In the event that there are changes to the Perform Network premiums for <br />•• <br />18 <br />