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<br /> <br />The City of LaPorte, Texas <br />Stop Loss Worksheet <br />2005 <br />(Best and Final Offer) <br /> <br /> <br />Covera e Basis <br /> <br />16112 <br /> <br />18112 <br /> <br />16112 <br /> <br />16112 <br /> <br />18112 <br /> <br />24112 <br /> <br />24112 24112 24112 <br /> <br />1219 <br /> <br />Benefits Covered <br /> <br />MedicaVrx <br /> <br />MedicallRx <br /> <br />MedlcaVRx <br /> <br />Med 1 Rx <br /> <br />Med 1 Rx <br /> <br />Med 1 Rx <br /> <br />M~IRx M~IRx M~IRx <br /> <br />Med 1 Rx <br /> <br />Covera e Amount <br /> <br />$1000000 <br /> <br />$1 000000 <br /> <br />$1000000 <br /> <br />$1 000000 <br /> <br />$1 000000 <br /> <br />$1 000000 <br /> <br />$1 000000 $1 000000 $1 000000 <br /> <br />$1 000000 <br /> <br />Deductible <br /> <br />$115000 <br /> <br />$115000 <br /> <br />$120000 <br /> <br />$125000 <br /> <br />$130000 <br /> <br />$115000 <br /> <br />$115000 <br /> <br />$120 000 <br /> <br />$115000 <br /> <br /> <br />Sin .'e. Rate <br /> <br />$19.13 <br /> <br />$20.52 <br /> <br />$18.38 <br /> <br />$17.39 <br /> <br />$20.73 <br /> <br />$23.31 <br /> <br />$22.28 <br /> <br />$18.91 <br /> <br />Covera e Basis 16112 18/12 18112 18112 18112 24112 24112 24112 24112 1219 <br />Benefits Covered Med 1 Rx Med 1 Rx Med 1 Rx Med 1 Rx Med 1 Rx Med 1 Rx Med 1 Rx MedlRx MedlRx Med 1 Rx <br />Covera e Amount $1 000 000 $1 000 000 $1 000 000 $1 000000 $1 000000 $1 000 000 $1 000000 $1 000000 $1 000000 $1 000000 <br /> $5.34 $5.34 $5.34 $5.36 $5.37 $5.47 $5.24 $5.27 $5.29 $4.18 <br />Sin Ie Factor $313.42 $369.82 $370.45 $371.32 $371.80 381.43 $382.68 $383.60 $384.60 NIA <br />Famll Factor $940.25 $1 017.00 $1018.73 $1021.13 $1 048.94 $1 003.51 $1 005.91 $1 008.57 NJA <br /> <br /> <br /> <br />A r ate Attach. Point <br /> <br />$3411233 <br /> <br />$3742193 <br /> <br />$3748561 <br /> <br />$3757 387 <br /> <br />$3859713 <br /> <br />$3 722 827 <br /> <br />$3731 739 <br /> <br />$3741583 $3723114 <br /> <br />Total Estimated Premium <br /> <br />$197,390 <br /> <br />$218,332 <br /> <br />$209,853 <br /> <br />$198,257 <br /> <br />$191,814 <br /> <br />$220,931 <br /> <br />$243,938 <br /> <br />$235,227 <br /> <br />$225,461 <br /> <br />$219,916 <br /> <br />~ <br />Single <br />Family <br />Composite <br /> <br />Both Plans <br />Combined <br />142 <br />255 <br />397 <br /> <br />The <br />Welch <br />Company <br />