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MEMO TTM OF UNDERS TANDIN G <br />BETWEEN THE CITY OF RAMSEY AND LAW <br />ENFORCEMENT LABOR SERVICES -CAPTAINS <br />M, O.Ut INSURANCE <br />January 1, 2021 to December 31, 2021 as described below: <br />1) City total monthly contributions for 2021 health insurance, as follows: <br />The employetwill make the following contributions toward group health insurance <br />coverage for employees enrolled in the City's health plan during 2021, In addition, the <br />City will purchase $20,000 of basic life insurance for hill -time regular employees. <br />The City's monthly contribution to health insurance in 2021, including the contribution <br />to the health insurance premium and the H.R.AJV.E.B,A. or H.S.A. (total city <br />contribution per month) are listed below. <br />Total Monthly City Contributions <br />Employee only (single) City contribution from: $949.00 to $1034.50 <br />• Employee and Children City contribution: $1246.00 <br />9 Employee and Spouse City contribution: $13 0 0.3 0 <br />• Family City contribution: $1603.80 <br />Total monthly city contributions listed above include the H.R.A.I .E.B .A. or H.S.A. <br />shown below, as follows: <br />• Single plans with a $4000 deductible receive $194.00 per month toward the <br />HLR►A. .B.B.A. or H.S.A. <br />• Other single plans receive $130.00 per n .onth toward the H.R.A.N.E.B.A, or <br />H.S.A. <br />• All employee + children and employee + spouse plans will receive $160.00 per <br />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 H.R.A..E.B.A. <br />or H.S.A., <br />Or <br />Provide cash in lieu of City's insurance contribution of $370 per month in 2021. <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 teens: 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 fog. - <br />16 <br />