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A Full Service Health Plan <br />3600 West 80th Street * Bloomington, Minnesota 55431 * (612) 830 -3166 <br />1988 SERVICE FEE FOR SHARE SMALL BUSINESS PROGRAM <br />Enrolling Group Name: City of Little Canada <br />Effective Date of Service Fee Amendment: FEBRUARY 1, 1988 <br />The Service Fee for the Share Small Business Plan is amended by <br />deleting the 1987 rate and substituting the 1988 rate as follows: <br />1988 <br />Enrollee: $73.g4 <br />Enrollee and One Dependent: $157.94 <br />Enrollee and Two or More Dependents: $251.41 <br />1987 <br />$ 65.62 <br />$ 141.08 <br />$ 199.54 <br />Rate of Increase <br />11.25% <br />The term of this agreement is extended for one year covering the <br />period FEBRUARY 1, 1988 through JANUARY 31, 1989 . <br />10.67% <br />20.63% <br />Receipt of this document serves as execution of its contents. <br />}** * * * * *** **** ** *** * * * ** * **** ** ** *** *** *********************** *t* * *** *********** *** * ********* <br />A= Enrollee only 2 x 73.94 <br />B. Enrollee and one person 3 x 157.94 <br />C. Enrollee and two person and more 4 x 251.41 <br />Page 48 <br />$ 147.88 <br />$ 473.82 <br />$ 1,005.64 <br />$ 1,627.34 <br />