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<br />IV. DATA COLLECTION (MAJOR MEDICAL) <br />AS OF LAST PLAN ANNIVERSARY OR CURRENT. <br /> <br />. SUMMARY PLAN DOCUMENT (BOOKLETS) <br /> <br />. ACTIVE EMPLOYEES & ELIGIBLE/COVERED DEPENDENTS <br /> <br />* GENDER <br /> <br />*EMPLOYEE DATE OF BIRTH <br /> <br />*PLAN CODES (PPO(S), HMO(S), ETC) <br /> <br />*DEPENDENT PARTICIPATION <br /> <br /> (EXAMPLE EXCEL FILE) <br />GENDER AGE/DOB PLAN CODE COVERAGE <br />MIF HMO,PPO,ETC. EE, ES, EC, EF, <br /> WAIVER <br /> <br />. RETIREES CENSUS FILE SAME AS ACTIVE EMPLOYEES <br /> <br />. CONTRACT PREMIUMS. <br /> <br />. PREMIUM CONTRIBUTION STRUCTURE FOR ACTIVE EMPLOYEES <br />AND RETIREES. <br /> <br />V. NEXT MEETING IN JANUARY, 2005. <br /> <br />PAGE 2 <br />