10-18-04 Special Called Workshop Meeting of La Porte City Council

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Schedule C -Retiree Coverage Coverage 1st - Schedule C PPO aDD = schedule c Current Rates Current Rates Monthly Annual Monthly , , . Annual Mo~Mh .Annual Em o ee + Child $95.24 $1 142.88 5215.99 ~ ... 12 591.88 $86.67 $1 040.04 Em I + Famil 5120.69 $1 448.28 5239.56 ~ • • $2 874.72 $28.17 $350.00 Em 1 + Famil 5120:69 $1 448.28 5239.58 $2,874.72 1276.75 $2 601.00 Em to ee+ Famil 5720.69 51,448.28 5239.56 - ~ $2,874.72 5112.87 51 352.04 Em I ee+ Femil 5120.68 51,448.28 5239:56 - .'.. $2 87A.72 156.33 $676.00 Em ee + Fami $120.89 $1 448.28 ~ $259:59 =~~ ~ ~• .:~ 874.72 558.33 5675.96 Em to ee + Famil 5120.69 $1 448.28 5239:59 ~ . -~ ' '; $2 874.72 5'162.58 $3,151.00 Em I ee+S se 5105.00 $1;260.00 ~ 1225.79 ^+:~..~ • .$2;709.48 5143.58 $1,723.00 Em I + S use 5105.00 . $1 260.00 1228:78 ~ - " $2 709.48 149.83 $598.00 Em 1 ee + S use 5105.00 .51,260.00 1225.79 •> 12,709.48 549.83 1598.00 Em + use 5105.00 $1260.00 .5225.79 • : ' $2 709.48 549.83 $598.OD Em I + S use 1105.00 $1 260.00 5225.79 ~:, • 12 709.48 149.83 1597.96 Em 1 + use 5105.00 . $1260.00 5225.79 :...: $2 709.48 549.83 5597.96 Em to ee+S use E105.00 11260.OD 5225.79 12709.48 5104.83 $1,257.96 Em ee + S Dose 1105.00 11 26D.00 "1225:79 •. -' 51709.48 . 549.83 1597.96 Em I + use 5105.00 51.260.00 5225.79 ~• 52.709.48 549.83 $597.96 Em to ee + S use 5105.00 $1 260.00 5225.79 :. ` 12 209.48 549.83 $598.00 Em I ee + S use 5105.00 $1,260.00 SZl5.79 ~ 12 709.48 549.83 1598.00 Em I + se 5105.00 $1,260.OD S?15.79 ' ~ 12 709.48 549.83 1598.00 Em to + use 5105.00 11,26D.00 5225.79 :~ ~- 12;708.48 549.83 $598.00 Em ee+S use 1105.00 S1 260.00 ~ 1225.78 = '-• , 12,709.48 149.83 $598.00 Em + se 5105.00 51 260.00 ~ 5225.79. : ~ :: ~~: 52,709.48 549.83 $597.96 E + S use 5105.00 $1 260.00 ..1225:79 i .. - >' 51709.48 5328.83 $3 946.00 Em + use 5105.00 $1 260.00 5225:79 :- ~~.•~= 12°209.48 549.83 ~ $598.00 Em to ee + S use 5105.00 $1 260.00 - 5225.79 ` ~ $2 709.48 549.83 $598.00 Em to ee+S use ~ 5105.00 $1260.00 5225:79 .:.' .. $2709.48 599.67 $1 196.04 Em o + use 5105.00 $1 260:00 ~ 5225.79 .. 12 709.48 579.00 $948.00 Em + S use 5105.00 $1 260.OD M25.79 ~ ~ - $2 709.48 5154.00 $1,848.00 Em I ee+S use 5105.00 $1,260.00 5225.79 '.: 51709.48 549.83 $598.00 Em I e Onl 514.65 $175.80 578:14 . $9A9.68 556.33 1676.00 Em I ee Onl 514.65 1175.80 179:14 5949.68 50.00 10.00 Em ee On 514.65 5175.80 579.14 ~.. $949.68 527.50 $330:00 Em to ee On 114.65 1175.80 579:14 . 1949.68 10.00 10.00 Em 1 ee Onl 514.65 5175.80 579..74 ~ ~ • '5949.68 50.00 $0.00 Em I ee Onl 114.65 1175.80 379.14 - 1949.68 149.83 1598.00 Em to On 574.65 $175.80 579.14 ~. ~ . ~• $949.68 50.00 50.00 Em to ee Onl 514.65 5175.80 ~ 578.14 5949.68 129.17 5350.04 Em to Onl 514.65 1175.80 578:14 ` ~ $949.68 50.00 10.00 Em o ee Onl 574.65 ~ $175.80 578:14 :'-. - 5949.68 549.83 $597.96 Em to Onl 514.65 . $1.75.80 .,'578:14 .ro ~'-'' $949.68 529.17 1350.04 Em to Onl 514.65 $1.75.80 ' •579.14 s.'. •.`.•' •- 5949.68 50.00 $0.00 Em o Onl 514.65 1175.80 579.14 ;.. • '. ~ $949:68 50.00 $0.00 Em to eeOnl 514.65 $175.80 '." 579:14 .:.' •' ~. $949.68 50.00 10.00 Em to ee On 574.65 $175.80 579.14 = ' ~- $949.68 558.33 . 5700.00 Em to Onl 514.65 5175.80 .579.14 - 5949.68 511.00 .$O.OD Em I ee Onl 514.65 $175.80 579:14 - ~ $949:68 50.00 10.00 Employee Only 514.65 $175.80 - 579.14 ..:. $949.68 SD.00 $0.00 140,716.86 • '196,543.00 $33,934.88