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<br />Exhibit 2 <br /> <br />City of La Porte <br />Proposed Premium and Contribution Worksheet <br />Effective October 1, 2006 <br /> <br />Expected Claims <br /> <br />Subs <br /> <br />Coverage 1st - $1,500 Deductible <br />Employee Only 24 <br />Employee & Spouse 13 <br />Employee and Children 17 <br />Employee and Family 24 <br /> <br />Coverage 1st - $1,000 Deductible <br />Employee Only 50 <br />Employee & Spouse 23 <br />Employee and Children 20 <br />Employee and Family 35 <br /> <br />PPo - $500 Deductible <br />Employee Only 26 <br />Employee & Spouse 19 <br />Employee and Children 10 <br />Employee and Family 21 <br /> <br />PPo - $300 Deductible <br />Employee Only 22 <br />Employee & Spouse 14 <br />Employee and Children 4 <br />Employee and Family 52 <br /> <br />374 <br /> <br />Total Monthly Funding <br /> <br />Total Annual Funding <br />Employee/Employer % <br /> <br />* Employee contributions plus subsidy <br /> <br />Proposed Premium and <br />Contributions <br />Employer Employee <br />Contribution Contributions* <br />$500.00 $25.78 <br />$500.00 $184.74 <br />$500.00 $167.57 <br />$500.00 $212.34 <br />$500.00 $39.94 <br />$500.00 $229.32 <br />$500.00 $211.24 <br />$500.00 $273.76 <br />$500.00 $88.37 <br />$500.00 $291.60 <br />$500.00 $272.97 <br />$500.00 $326.05 <br />$500.00 $139.24 <br />$500.00 $397.26 <br />$500.00 $380.01 <br />$500.00 $421.48 <br />$187,000 $81,520 <br />$2,244,000 $978,240 <br />70% 30% <br /> <br />Total Premium wi <br />Contributions & Subsidy <br />$525.78 <br />$684.74 <br />$667.57 <br />$712.34 <br />$539.94 <br />$729.32 <br />$711.24 <br />$773.76 <br />$588.37 <br />$791.60 <br />$772.97 <br />$826.05 <br />$639.24 <br />$897.26 <br />$880.01 <br />$921.48 <br />$268,520 <br />$3,222,240 <br />100% <br /> <br />13 <br />