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� <br />� <br />� <br />TO: <br />FROM: <br />SUBJECT: <br />DATE: <br />City of <br />Pequot <br />Lakes — <br />MEMORANDUM <br />City Council <br />Nancy Malecha, Finance Administrator/Deputy City Clerk <br />2013 Health Insurance Rates <br />August 28, 2012 <br />For 2013, the health insurance rates will remain the same as 2012 (0% increase) for the <br />HealthPartners $2,500 HSA Plan and the HealthPartners Three for Free Plan. The premium <br />breakdown is as follows. <br />Three for Free Plan <br />Family Rate =$868.22 per employee per month <br />Employer's Share is 85% _$738.00 per month <br />Employee's Share is 15% _$130.22 per month <br />Single Rate =$609.66 per employee per month <br />Employer's Share is 85% _$518.22 per month <br />Employee's Share is 15% _$91.44 per month <br />HSA Plan <br />Family Rate =$821.16 per employee per month <br />Employer's Share is 85% _$698.00 per month <br />Employee's Share is 15% _$123.16 per month <br />Employer's HSA Contribution =$200 per month <br />Single Rate =$573.04 per employee per month <br />Employer's Share is 85% _$487.08 per month <br />Employee's Share is I S% _$85.96 per month <br />Employer's HSA Contribution =$150 per month <br />If you have any questions, let me know. <br />Thank you. <br />