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Year <br />Premiums <br />Citj Contribution <br />Employee Contribution <br />2003 <br />FORTIS DHA PREMIER <br />Sensible Dental Plus <br />Single $20.50 <br />$ left from cafeteria <br />$0 <br />Family $54.63 <br />$0 <br />$54.63 <br />DELTA DENTAL <br />2004 <br />Preferred - Self Insured <br />ASO (Admin. Services <br />Only) Plan <br />Single $21.15 <br />$left from cafeteria <br />$varies <br />Single + 1 $41.24 <br />$0 <br />$41.24 <br />Family $63.86 <br />$0 <br />$63.86 <br />Financial Implications: <br />The cost of the dental premium is included in the cafeteria portion of the City contribution and is not an <br />additional cost. <br />Council Action Requested: <br />Motion authorizing staff to sign an agreement with Delta Dental for the provision of employee and retiree self <br />insured dental insurance for the period January 1, 2004 to December 31, 2004. <br />