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MEMORANIJTJM OF UNAERSTANDING <br />BETWEEN THE CITY OF RAMSEY AND LAW <br />ENFORCJMENT LABOR SERVICES CAPTAINS <br />M,O.U. 1NSURANC1 <br />January 1, 2021 to December 31, 2021 as described below: <br />1) City total monthly contributions for 2021 .health insurance, as foliows: <br />The employerwill make the following contributions toward group health insurance <br />coverage for employees enrolled in the Citys health plan during 2021, In addition, the <br />City will purchase $20,000 ofbasie life insurance for full-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.RAJVELB.A or H.S.A. (total city <br />eontribution per month) are listed below. <br />Total Monthly City Contributions <br />• Employee only (single) City contribution from; $949OO to $1034.50 <br />• Employee and Children City contribution; $1246.00 <br />a Employee -and Spouse City contribution: $1300.30 <br />• FamilyCityoontiThution: $160380 <br />Totalmonthly city contributions listed above include the ERA/VB.BA or H.S.A. <br />shown below, as follows: <br />• Single plans with a $4000 deductible receive $194.00 per month toward the <br />HILA/VEBA or H.S.A. <br />• Other single plans receive $130,00 per month toward the HRA/VE.BA. or <br />H.SA, <br />• All employee + children and employee + spouse plans will receive $160.00 per <br />month .toward the HR.AJVB+B.A or H.S.& <br />• All family plans will receive $192,00 per month toward the 11,R.A.N.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 into the waiving benefit. Other employees to the program are subject <br />to the following teams: Employee must show proof of offer coverage and agrees to the <br />terms of the waiving benefit as described within the City's polioy, signing the <br />acknowledgement forrn <br />16 <br />