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. o • <br /> <br /> <br />or` <br />~ ~~ <br />CITY OF LAPORTE <br />P.O. Box 1115, LaPorte, Texas 77571 <br />Mr. Larry Broussard, Group Representative <br />SUMMARY OF BENEFITS: . <br />$30 room for 30 days <br />All usual hospital services covered in full except <br />blood and plasma <br />ICU in full <br />$500 Surgical Schedule <br />20% Anesthesia <br />Jumbo Major Medical <br />$250,000 Maximum . <br />$60 room limit <br />$100 Deductible <br />Op Drugs in full <br />Op Psy-Care (12.50 maximum per week) <br />$150 Acc Inj Supplement <br />RATES EFFECTIVE 3-1-75: <br />Individual $21.36 <br />Emp. and Child(ren), 42.13 <br />Two-Pe: son (a,-,~~~ '~ ~) 50.07 <br />Family ~,, . ~,~'~"~~~~~.`~~~.~.:~) 58.33 <br />~ a~~~ ~J ~ <br /> <br /> <br /> <br /> <br />