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<br />CITY OF LA PORTF <br />RETIREE MEDICAL INSURANCE INFO. <br />ll;!il!lf;~ig~~BI~Jg~~El~~lli&~I;lfu~I~Il!X~JMtJi{BBgf!11L%llil~B!H1ilg~~;l,[!!ll&g~fM!j6~~;~~~!tl;i~lliB,!jg;iiiflflfilffJii!1L--1,1. <br />il ;i U , <br />I iJ ' <br />cr <br /> <br />A Retiree may choose to have the City coverage within 30 days of retirement <br /> <br />Rates: <br /> <br />/ <br /> <br />The City of La Porte pays $3500.00 per year for each employee. <br />The percentages paid by the retirees are listed below, based on the $3500.00 per year. <br /> <br /> <br /> <br /> <br />At least 10 but less than 15 years <br />At least 15 but less than 20 years <br />At least 20 years <br /> <br />55010 <br />25% <br />0% <br /> <br />45% <br />75% <br />100% <br /> <br />$~ymJ' J r <br />$~ .:;u6.oD <br />15oiJ-:-!}&J~ <br />f&-'-)-'-()-X <br /> <br />Example to calculate cost for Retiree: <br /> <br />Employee has 12 years with the City - his/her cost will be the 55% of 3500.00 <br /> <br />~r:'"- /"'..~, ~"" <br />",",-" \, -., t \C'~ <br />0U;0 U ~ '--J __./ <br /> <br />3500.00 x 55% = <br /> <br />1925.00 per year <br /> <br />'t--..... '1 -"'"\? <br />il \. 10',' ',--'" <br />\,----" ~ '\J-J <br /> <br />If the employee had an eligible spouse and children you will need the annual <br />rate for this coverage (see attached) <br /> <br />Family Rate (Annual Coverage) <br />Employee Coverage (See Above) <br /> <br />676.00 <br />1925.00 <br /> <br />Total amount due Annually <br /> <br />2601.00 <br /> <br />The employee has a choice to pay the premiums <br /> <br />-Annually <br />Twice a Year <br />Quarterly <br />Monthly <br /> <br />1 Payment <br />Divide by 2 = <br />Divide by 4 = <br />Divide by 12 = <br /> <br />2601.00 <br />1300.50 <br />650.25 <br />216.75 <br /> <br />Note: If the coverage is only for Retiree, calculate the % of 3500 only. <br /> <br />Complete the attached sheet and give to Carla Fields in Cash Management for billing to Retiree. <br /> <br />Yearly Costs <br /> <br />FY 99-00 <br />FY 00-01 <br /> <br />4500.00 <br />3500.00 <br /> <br /> <br />( <br />i <br />