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I
<br />2014 Plan Rates
<br />Monthly - PPO
<br />County County Employee County and Ee County and Ee
<br />Sub Monthly Monthly Monthly Employee Monthly Monthly
<br />Count Contribution Premium Contribution Premium Contribution Premium
<br />Employee Only
<br />528
<br />$631.18
<br />$333,263.04
<br />$0.00
<br />$0.00
<br />$631.18
<br />$333,263.04
<br />Employee and Spouse
<br />Employee and Children
<br />Employee and Family
<br />Total
<br />60
<br />157
<br />31
<br />776
<br />$922.61
<br />$792.62
<br />$1,151.55
<br />$55,356.60
<br />$124,441.34
<br />$35,698.05
<br />$548,759.03
<br />$409.19
<br />$229.90
<br />$741.99
<br />$24,551.40
<br />$36,094.30
<br />$23,001.69
<br />$83,647.39
<br />$1,331.80
<br />$1,022.52
<br />$1,893.54
<br />$79,908.00
<br />$160,535.64
<br />$58,699.74
<br />$632,406.42
<br />$107.79
<br />Annual Total $6,585,108.36 $1,003,768.68 $7,588,877.04
<br />Cost /Sub /Mth $814.96
<br />Monthly- HSA
<br />Sub
<br />Count
<br />County
<br />Monthly
<br />Contribution
<br />County
<br />Monthly
<br />Premium
<br />Employee
<br />Monthly
<br />Contribution
<br />Employee
<br />Premium
<br />County and Ee
<br />Monthly
<br />Contribution
<br />County and Ee
<br />Monthly
<br />Premium
<br />Employee Only
<br />Employee and Spouse
<br />Employee and Children
<br />Employee and Family
<br />Total
<br />109
<br />16
<br />48
<br />31
<br />204
<br />$628.15
<br />$922.61
<br />$792.62
<br />$1,158.71
<br />$68,468.35
<br />$14,761.76
<br />$38,045.76
<br />$35,920.01
<br />$157,195.88
<br />$0.00
<br />$271.80
<br />$151.82
<br />$489.74
<br />$0.00
<br />$4,348.80
<br />$7,287.36
<br />$15,181.94
<br />$26,818.10
<br />$628.15
<br />$1,194.41
<br />$944.44
<br />$1,648.45
<br />$68,468.35
<br />$19,110.56
<br />$45,333.12
<br />$51,101.95
<br />$184,013.98
<br />$131.46
<br />$1,886,350.56 $321,817.20 $2,208,167.76
<br />Cost /Sub /Mth $902.03
<br />Combined Plans
<br />Sub
<br />Count
<br />County
<br />Monthly
<br />Contribution
<br />County
<br />Monthly
<br />Premium
<br />Employee
<br />Monthly
<br />Contribution
<br />Employee
<br />Premium
<br />County and Ee
<br />Monthly
<br />Contribution
<br />County and Ee
<br />Monthly
<br />Premium
<br />mployee Only
<br />Fmployee and Spouse
<br />Wmployee and Children
<br />I[zmployee and Family
<br />otal
<br />637
<br />76
<br />205
<br />62
<br />980
<br />$401,731.39
<br />$70,118.36
<br />$162,487.10
<br />$71,618.06
<br />$705,954.91
<br />$0.00
<br />$28,900.20
<br />$43,381.66
<br />$38,183.63
<br />$110,465.49
<br />$401,731.39
<br />$99,018.56
<br />$205,868.76
<br />$109,801.69
<br />$816,420.40
<br />nnual Total
<br />$8,471,458.92
<br />$1,325,585.88
<br />$9,797,944.80
<br />Cost /Sub /Mth
<br />$83tf 08
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