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Frank Clifton, [ty Manager <br />February 17, 2004 <br />Page 2 <br /> <br />choose the HMO Select coverage is $40 per month (an additional <br />$15/month towards dependent coverage plus the $25/month waiver <br />for the employee's contribution). Please see the table below for <br />a breakdown in the contributions between the City and the <br />employee. <br /> <br /> Current A11oo&tion of Proposed A11ocatlon of <br /> Contributions Contributions <br /> <br /> City Employee City Employee Total <br />Plan Contribution Contribution Contribution Contribution Cost <br />~MO Select <br />IEmpl oyee 292.41: 25.00 317.41 0.00 317.41 <br />~pouse 60.0(' 251.06 75.00 236.06 311.06 <br />IChild(ren) 60.0£ 209.82 75.00 194.82 269.82 <br />IDependents 60.0[ 457.38 75.00 442.38 517.38 <br />{MO <br />Employee 316,3~ 25.00 n/c n/c 341.32 <br />Spouse 60.0[ 274.50 n/c n/c 334.50 <br />Chitd(ren) 60.0£ 230.13 n/c n/c 290.13 <br />Dependents E0.0C 496.36 n/c n/c 556.36 <br />POS <br />Employee 316.32 135.22 n/c n/c 451.54 <br />Spouse 30.00 570.57 n/c n/c 600.57 <br />Child(ren) 30.00 493.79 n/c n/c 523.79 <br />Dependents 30.00 985.97 n/c n/c 1015.97 <br /> <br />The estimated cost of both recommended changes for one full year <br />with the current participation is $386.16. The cost for the <br />remaining FY 2003-04 is $193.08. <br /> <br />If the participation increases to 10 employees, the estimated <br />cost of this change for one full year is $1930.80. The cost for <br />the remaining FY 2003-04 for 10 employees is $965.40. <br /> <br />Please let me know if you have any questions. <br /> <br />xc: Health Insurance Committee <br /> <br /> <br />