|

Effective Date: April 1, 2007 - March 31, 2008
| COVERAGE |
EMPLOYEE |
CITY |
TOTAL |
| HMO |
Health Maintenance Organization Plan |
| Employee |
0.00 |
753.45 |
753.45 |
| Employee +1 |
120.00 |
753.45 |
873.45 |
| Family |
180.00 |
753.45 |
933.45 |
| POS |
Point of Service |
| Employee |
48.72 |
753.45 |
802.17 |
| Employee +1 |
361.48 |
753.45 |
1114.93 |
| Family |
542.20 |
753.45 |
1295.65 |
| PPO |
Preferred Provider Organization |
| Employee |
192.20 |
753.45 |
945.65 |
| Employee + Spouse |
633.92 |
753.45 |
1387.37 |
| Employee + Children |
552.68 |
753.45 |
1306.13 |
| Family |
869.60 |
753.45 |
1623.05 |
|
|