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AUG-06-2003 iG:25 FINANCIAL CONCEPTS <br />PREFERREDONE COMMUNITY HEALTH PLAN <br />Illustrative Tier Rate Change <br />Based on Current Rates- 7103 Enrollment <br />Company Name: City of Roseville <br />9526531301 P.02 <br />,two VjVV IF L <br />Choice 11 <br />Mthly Revenue• <br />From 2 Tier <br />$320.84 <br />$801620 <br />$80.P464.24 <br />66 <br />74 <br />140 <br />-Eft Sam a <br />sngmloenv+q."1 "ll Iwo <br />i a <br />mof"RU" I <br />�qq V <br />Fa ■ <br />3 Tier <br />$320-84 <br />$806,79 <br />$894.52 <br />13Dt4 4d 24 <br />66 <br />24 <br />50 <br />140 <br />I" MINWRE no. _4.Odin ........ In Is" Yffiqj 9 or j owpo 10 ­,4. . <br />. I n LwMa 9 " P4 194 <br />towgn wasow"coo"f bVIR6S4DawR " 9 a I <br />ingle+ <br />e 601 �a+ 9­C r. 9.6104000 n) <br />EaM i I 661 <br />psift" 4" II th ldd sb.. <br />4 Tier <br />$320.84 <br />$586-48 <br />5559.2D <br />$927.45 <br />$80,454.24 <br />66 <br />22 <br />5 <br />amaI ooq d &*I. <br />47 <br />140 <br />F-2 - — -- — - .i Pao hi wpop INS I- ,.1011..1.1.....1....... <br />Lh&m"-M NO" I IOU I MR Do. <br />Singte+l <br />0 I.ffif71..lMl <br />Single +2 <br />Single +3+ <br />4 Tier <br />-$271.84 <br />$543-68 <br />$815.52 <br />$1, a8T.35 <br />$801464.24 <br />66 <br />24 <br />18 <br />32 <br />140 <br />_Pq <br />110mic <br />Ehoicle C 14 <br />S-1 <br />F <br />Mthly Revenue: <br />From 2 Tier <br />$263.09 <br />$656.98 <br />$65,900-46 <br />66 <br />74 <br />U O <br />........ --------- <br />..&I b Radii "%*M 160 ME 04-0 04 R V4r-- <br />­aUm&wmm*j Ito NJ F044100" <br />PjncA9+ 1 <br />WrG LOW 50201 *—b§AAbq&P <br />IF a a" nooa�E�qv� Me I NNW <br />Fami!y <br />"ft�*& SO <br />3 Tier <br />$263.019 <br />$497,56 <br />$733,5D <br />$65P980.46 <br />86 <br />24 <br />60 <br />140 <br />SinW <br />Sinjgle+Qgn� <br />FamilY <br />4 Tier <br />$263.09 <br />$480.01 <br />$45834 <br />$760.51 <br />$650980.46 <br />66 <br />22 <br />5 <br />47 <br />140 <br />S i gala <br />Single +1 <br />x9ingleop±2 <br />Single +3+ <br />4 Tier <br />$222.91 <br />$445.81 <br />$688.72 <br />$891163 <br />$655,980.46 <br />66 <br />24 <br />18 <br />S2 <br />140 <br />81612DO3 <br />TOTAL P.02 <br />