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2 <br /> CAROLINA PHYSICIANS' HEALTH PLAN, INC. <br /> (Hereinafter called "Plan") <br /> 4020 WestChase Blvd., Suite 450 <br /> Raleigh, NC 27607 <br /> EMPLOYER GROUP CONTRACT <br /> (Hereinafter called the "Contract") <br /> WITH <br /> Orange County Local Government <br /> (Name of the "Enrolling Unit") <br /> 109 Court Street <br /> Hillsborough, NC 27278 <br /> CONTRACT NUMBER 11789 <br /> BENEFIT PACKAGE 10/0 Health Plan <br /> $5/25% Prescription Drug <br /> The Per Month Health Services Fees computed for the Health Plan <br /> are as follows: <br /> SINGLE $ 89.00 <br /> EMPLOYEE + SPOUSE $ 187.00 <br /> EMPLOYEE + CHILDREN $ 169.00 <br /> FAMILY $ 266.00 <br /> TERM: July 1, 1989 (the "Effective Date") to December 31, 1989 <br /> Enrolling Unit: Carolina Physicians' <br /> Health Plan, Inc. <br /> By: By: <br /> (x) (x) <br /> Name: Keith G. Benoit <br /> Title: Chief Financial Officer <br /> Date: Date: <br />