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Annual H.S.A. <br />% of Premium <br />Annual Cost <br />Contribution <br />Y <br />St <br />co <br />a <br />4 0 00 r4 <br />00 Q) 0D 0 00 LII <br />ui tD c-+ ri <br />-1 0 <br />if} VI. 'j <br />O O If <br />OU1 0 IN0 <br />rI m N <br />00 <br />N <br />m <br />00 <br />t/T <br />0 0 <br />t/T <br />0 <br />0 00 <br />00 N C <br />01. <br />O <br />> V N LD <br />d <br />C 41 i/0T 0 tD t0/1 t0/T ri 0 O 0 N <br />E <br />2011 Monthly <br />2011 Monthly <br />2011 EE Health Insurance <br />City Contribution <br />H.S.A. Premium <br />W <br />W <br />0 <br />I.N. I./1 f1 M N l!'1 Q^1 <br />O O <br />00 u) <br />m fl N <br />I� L (-i <br />m CO IN m <br />t/} i/T in- t/T to <br />N n <br />L 0 0 <br />00 CO tR <br />m} om Cr) <br />t/)• <br />FT Single 25/80 Choice <br />FT Family 25/80 Choice <br />87.5% Family 25/80 PT Choice <br />FT EEs Waiving Coverage <br />N O LD <br />N m <br />50% EEs Waiving Coverage <br />00 N <br />O <br />0 <br />N <br />tD <br />2012 Monthly <br />Annual H.S.A. <br />% of Premium <br />Contribution <br />N <br />0 <br />Annual Cost <br />Contribution <br />A <br />Y <br />0 <br />T <br />a <br />f9 <br />a <br />molovee Cost <br />30% of Incr. <br />14% Prem. Incr. <br />W <br />O <br />)fiD 0 0 N Cr <br />I� N <br />CO 0 om0 O O N. <br />m <br />0 <br />.m-m N t/ v <br />� t/T T t1T <br />N <br />Lfl <br />c-I <br />N <br />N <br />rtm/T <br />O O u1 <br />N <br />o O LD 011 <br />e-1 M N <br />t/1 VT tn. <br />O <br />O N ^ C C <br />M Ct <br />0 M <br />O rf 00 O O <br />O 0 r-1 'f if} <br />t/T N m <br />N IN V1 N <br />O cI <br />cc; O <br />O N O N <br />Cr at 00 N -i <br />t/T t/T VI. t!T t/T <br />O O <br />O O) a) <br />N N O O <br />1-1 i11. t/T <br />rl r-I <br />LT VI. <br />FT Single 25/80 Choice <br />FT Family 25/80 Choice <br />87.5% Family 25/80 PT Choice <br />FT EEs Waiving Coverage <br />50% EEs Waiving Coverage <br />NOm i--I�-I C' <br />Q1 <br />00 <br />N <br />tD <br />t/T <br />2012 Health Insurance with a 5% premium reduction <br />0 <br />0 <br />H <br />Annual H.S.A. <br />% of Premium <br />2012 Monthly <br />0 <br />N <br />Annual Cost <br />Contribution <br />Paid by City <br />Employee Cost <br />Contribution <br />Premium ( -5 %1 <br />N <br />o LO N - M n <br />i.n 0 O^ r-1 N <br />o 0 <br />-1 0v v t/t^T LLfl <br />t1T if} to •Vf <br />O 0 <br />O O t0/� 0 in. <br />m <br />g g co cc <br />O <br />O co C <br />0 <br />0 r-1 0 0 <br />t/} 0 IA- t/T <br />tn. <br />rn N. .1' <br />Ol m d N <br />M LD O O <br />m m cf N <br />m 00 N ri <br />t1)• t/T t/T t/T <br />Q1 ' -I <br />01 �t <br />r,) 0 0 <br />FT Single 25/80 Choice <br />FT Family 25/80 Choice <br />0 m <br />FT EEs Waiving Coverage <br />50% EEs Waiving Coverage <br />