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<br />. <br /> <br />APR-29-2e02 10' 04 <br /> <br />Medical rOVe"!!! - HMO <br /> <br />Preferred One $10/100"10 <br />Sillllle <br />Family <br /> <br />HealthPanners $10/100% <br />Sinile <br />Family <br /> <br />Basie LifclAD&D lus\lrallcI <br /> <br />Basic: Llfe/AD&.D: <br /> <br />Dependent Life: <br /> <br />Supplemental Lifel AD&D: <br />(per Tholl88lld) <br /> <br />Dental Covel'al2-- <br /> <br />Preventive Dental: <br /> <br />Employee: <br />Family: <br /> <br />Comprehensive Dental; <br /> <br />Employee: <br />Family: <br /> <br />Marsn Advantage America <br /> <br />EXHIBIT B <br />City of ClIDtervl\le <br />~1/O2 ReDewal Rat... <br />$10/100% HMO MaUled Care Plall <br /> <br />Current Rates <br /> <br />$253.58 <br />$612.38 <br /> <br />5241.50 <br />$572.3\ <br /> <br />$ .18/1,000 <br /> <br />$1.11!iUnit <br /> <br />All! <br /><3S <br />35.39 <br />40.44 <br />45-49 <br />50-54 <br />55-59 <br />60-64 <br />65-69 <br /> <br />tdonthly Rate <br />If Employer Pays <br />9()Oft, or More of Cost <br />$ 8.02 <br />$24.24 <br /> <br />Moatbly Rata <br />If Employer Pays <br />90% or More of COIlt <br />$27.41 <br />SliS.30 <br /> <br />9528263840 P. 05/05 <br /> <br />Renewal Rates <br /> <br />$303.03 <br />$731.79 <br /> <br />$288.59 <br />$683.91 <br /> <br />$ .22/1,000 . <br />$1.l8lUnit <br /> <br />.10 <br />.12 <br />.18 <br />.27 <br />.46 <br />.74 <br />.82 <br />1.56 <br /> <br />Monthly !We <br />If Employer Pays <br />50-89% of Cost <br />$ 8.74 <br />$26.86 <br /> <br />Monthly Rate <br />If Employer Pays <br />50.89% of Cost <br />$30.25 <br />$71.63 <br /> <br />TOTAL P. 05 <br />