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2018 Recommended Contributions – <br />Benefit Eligible Employees on or before 12/31/17 <br />City of La Porte <br />Increase 2017 Cost Share x2 for PPO and x 1.5 for AHF 1000 (Except EO), No Change AHF 1500 <br />Enrollment Unit Costs - Monthly Total Costs - Monthly <br />Total Employee Total Employee <br />Full Time City Contribution Employee Total Employee <br />PPO Medical Rate City Contribution ($) <br />Employees (%) Contribution ($) Contribution ($) <br />($) (%) <br />Employee Only 196 $906.05 $850.83 93.9% $55.22 $55.22 $0.00 0.0% <br />+Spouse 43 $1,087.25 $866.19 79.7% $221.06 $276.28 $110.53 66.7% <br />+Child(ren) 28 $724.83 $524.95 72.4% $199.88 $255.10 $99.94 64.4% <br />+Family 79 $1,721.49 $1,461.29 84.9% $260.20 $315.42 $130.10 70.2% <br />Premium Contributions 196 $4,567,572 $4,009,799 87.8% $557,774 <br />Total Employee Total Employee <br />Full Time City Contribution Employee Total Employee <br />AHF 1000 Medical Rate City Contribution ($) <br />Employees (%) Contribution ($) Contribution ($) <br />($) (%) <br />Employee Only 154 $650.91 $628.20 96.5% $22.71 $22.71 $0.00 0.0% <br />+Spouse 23 $781.10 $619.64 79.3% $161.46 $184.17 $53.82 41.3% <br />+Child(ren) 20 $520.74 $374.68 72.0% $146.06 $168.77 $48.69 40.5% <br />+Family 39 $1,236.73 $1,037.38 83.9% $199.35 $222.06 $66.45 42.7% <br />Premium Contributions 154 $2,122,229 $1,907,349 89.9% $214,880 <br />HRA Contributions 154 $118,000 $118,000 100.0% n/a <br />Total Contributions 154 $2,240,229 $2,025,349 90.4% $214,880 <br />Total Employee Total Employee <br />Full Time City Contribution Employee Total Employee <br />AHF 1500 Medical Rate City Contribution ($) <br />Employees (%) Contribution ($) Contribution ($) <br />($) (%) <br />Employee Only 51 $631.27 $616.62 97.7% $14.65 $14.65 $0.00 0.00% <br />+Spouse 3 $757.53 $667.18 88.1% $90.35 $105.00 $0.00 0.00% <br />+Child(ren) 8 $505.02 $424.42 84.0% $80.60 $95.25 ($0.00) 0.00% <br />+Family 16 $1,199.42 $1,093.39 91.2% $106.03 $120.68 $0.00 0.00% <br />Premium Contributions 51 $692,379 $652,065 94.2% $40,314 <br />HRA Contributions 51 $39,000 $39,000 100.0% n/a <br />Total Contributions 51 $731,379 $691,065 94.5% $40,314 <br />** This example assumes no <br />Full Time City Contribution Employee <br />migration between plan options <br />All Plans Total Medical Cost City Contribution ($) <br />Employees (%) Contribution ($) <br />for 1.1.2018 <br />Total Contributions 401 $7,382,180 $6,569,213 89.0% $812,968 <br />Contributions with HRA 401 $7,539,180 $6,726,213 89.2% $812,968 <br />$ Difference over Current ($0) ($271,585) $271,586 <br />% Difference over Current (0.00%) 3.88% 50.17% <br />10 <br /> <br />