Laserfiche WebLink
03/10/99 16:34 FAX PHIL BRETT -~ LACY DIR ~ 005 <br />MAYFI~LD Vll.t-~-G~ <br />561305907 <br />RenewslFllhcffve: APB ~. t999 <br />neaas ~nar.~c.....~ ., .., ~_ .. ------ -- <br />Community Pre#erred first Dollar <br />ref c Plan XrgkTtgt+ts <br />- Major Medical (p~tibles sad Coinsurance may APPiY? - Hsalth Care INanagem~ Progran't <br />- F~gmtY and Acsidcat Cart <br />• - Iapanent/Outpatieat Hospital Care - Dia stie Serviczs <br />:. physicratr Charges: S8 netJS15 non-ncL Co-pay -lrifetime Ma~dtnnm Benefit of 51.000.000 <br />. prescriptiart Drugs: SS Co-pay _ psychiatric Cale dt Stitbstanac Abuse <br />= - Maternity, Well Baby 8c well Child Care _ Him» plan T~splant (j,imitations Apply) <br />i - 1Z Mvnth Preexisting Clatrsc <br />- -_.•~.._... ~...,..,..,,. rte. mwds t,~a(,) fa bps dow'{s od Isuseu®sr) <br />PREMtuM RENIcvVA~,NFORManor~ <br />vision <br />Employee 10 5239.28 50.00 50.00 50.00 52,392.80 <br />Famly 3ef 5724.66 50.00 50.00 50.00 524,638.44 <br />TOTAL 44 527,03124 <br />Employee 10 5235.30 50.00 So.00 10.00 s[,3~3_uu <br />Famiiy 34 s7~z.59 so_oo so-oo so.oo 524,zze.06 <br />~Tw ~ 526,581.06 <br />Premium is increasing by -1.7% <br />Ord. 99-09 <br />