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<br />MEDICAL MUTUAL SERVICES, L.L.C. <br />EXHtBIT A <br />to <br />Addendum I <br />for <br />THE CITY OF NORTH OLMSTED <br />621634* <br />January 1, 2003 through December 31, 2003 <br />ADMINISTRATIVE FEES: SINGLE <br />MEDICAL $20.02 <br />PRESCRIPTION DRUG $1.85 <br />DENTAL $1.76 <br />Visiorv $0.67 <br />PRISIONERS - 15% OF SAVINGS <br />GUARANTEED MINIMUM DISCOUNT: <br />FACILITY AND PROFESSIONAL COMBINED <br />36% <br />FAMILY <br />$54.03 <br />$5.02 <br />$4.81 <br />$1.82 <br />DRUG REBATES: <br />Effective 1/1/2002 through 12/31/2002 the rebate arnount is $0.80 per script. <br />EXPECTED MONTHLY ENROLLMENT: SINGLE FAMILY <br />MEDICAL 76 247 <br />PRESCRIPTION DRUG 76 247 <br />DENTAL 36 137 <br />VISIoN 12 38 <br />Rev. 12/17/02 <br />*was 900299 <br />Page 6 <br />03eCityofNorth OlmstedD Rub <br />Rev. 090102 <br />