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MEMORANDUM OF UNDERSTANDING <br />BETWEEN THE CITY OF RAMSEY AND AMERICAN FEDERATION OF <br />STATE, COUNTY AND MUNICIPAL EMPLOYEES AFSM1) <br />ARTICLE 12 M.O.U. 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 employer will make the following contributions toward group health <br />insurance coverage for employees eiirolled in the City's health plan during 2021 . <br />In addition, the City will purchase $20,000 of basic Life insurance for full-time <br />regular employees. <br />The City's monthly contribution Co health insurance in 2021, including the <br />oontribution to the health insuiance premium and the H,RA.IVEB,A, or H.S.A. <br />(total city eontribution per month) are listed below. <br />Tota1Miiiy City Contributions <br />• Employee only (single) City contribution from: $949.00 to $1034.50 <br />• Employee and Children City contribution: $1246.oOEmployee and <br />Spouse City contribution: $1300.30 <br />• Family City contribution: $1603.80 <br />Total monthly city contributions listed above include the HR,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.AJVBB,A. or H.S.A. <br />• Other single plans receive $130.00 per month toward the HR,AJV,E.B.A, <br />or H.S.A. <br />• All employee + children and employee -1- spouse plans will receive <br />$160.00 per month toward the H.R.AJVKB.A or H.S.A. <br />• All family plans will receive $192OO per month toward the <br />H.RAJV,B,B,A. or H.S.A. <br />Or <br />Provide cash in lieu of City's insurance contribution of $370 per month in. <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 <br />subject to the following terms: Employee must show proof of other coverage and <br />agiees to the terms of the waiving benefitas described within the City's policy, <br />signing the acknowledgement fotm <br />