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N <br />®® .00 <br />C <br />y <br />t <br />c <br />0 <br />c0 <br />a <br />0 <br />c�9 <br />-(0 <br />W <br />c c98a <br />LL <br />f° 9 `Q) <br />5693" <br />I <br />1 <br />• I <br />$250,000 <br />$148,750 <br />Unlimited <br />Unlimited <br />24/12 <br />$26.67 <br />$496,062.00 <br />3 O <br />69 <br />p <br />�y <br />g <br />$523,962.00 <br />$68,262.00 <br />14.98% <br />l <br />741.62 <br />$13,794,057.60 <br />-$113,385.60 <br />-0.82% <br />$14,318,019.60 <br />($45,123.60) <br />-0.31% <br />• <br />• <br />125% <br />$927.02 <br />.$17,242,572.00 <br />$17,766,534.00 <br />($73,470.00) <br />-0.41% <br />Arnerir Insurnnc Cbrnpany <br />$250,000 <br />$148,750 <br />Unlimited <br />Unlimited <br />24/12 <br />$25.34 <br />$471,324.00 <br />Medical & t�C <br />125% <br />$1,000,000 <br />24/12 <br />$1.46 <br />8$8 <br />ga°',`. <br />825.32 <br />- .. $15,350,95200 <br />$1,443,508.80 <br />10.38% <br />$15,849,432.00 <br />$1.486,288.80 <br />10.35% <br />125% <br />$1,031.65 <br />•$19;188,690:00 <br />$19,687,170.00 <br />$1,847,166.00 <br />10.35% <br />51 <br />8 <br />6 <br />ri <br />I <br />Medical & Rx: <br />125% <br />$1,000,000 <br />48/12 <br />$1.50 <br />$27900.00 <br />$559,860.00 <br />$104,160.00 <br />22.86% <br />755.59 <br />$14,054,011:20 <br />$146,568.00 <br />1.05% <br />$14,613,871.20 <br />$250,728.00 <br />1.75% <br />125% <br />$944.49 <br />•$17,567,514.00 <br />$18,127,374.00 <br />$287,370.00 <br />1.61% <br />HM Highmar k Lif e Insurance company <br />$2,50,000 <br />$148,750 <br />Unlimited <br />Unlimited <br />36/12 <br />$22.28 <br />$414,408.00 <br />Medical & R< <br />125% <br />$1,000,000 <br />36/12 <br />$2.22 <br />$41,292.00 <br />g <br />g<< <br />a <br />`= as <br />$14,363,143.20 <br />$0.00 <br />0.00% <br />11111111111111.111111111111111 <br />125% <br />$934.64 <br />• . .: . $17384,304:00. <br />$17,840,004.00 <br />N/ A <br />N/ A <br />TACSfOPIA65 • <br />Specific Deductible <br />Aggregating Specific Deductible <br />Lifetime Maximum (Nr Forson) <br />Annual Maximum <br />Claims Basis <br />Composite Tate 1550 <br />Annual FYemium <br />ACa4TESTcP LOSE <br />Included Cbverage <br />Loss Corridor <br />Annual Maximum <br />Claims Basis <br />OJmposite Late 1550 <br />Annual Ftemium <br />Total Axed costs <br />$ Increase (Decrease) <br />%Increase (Decrease) <br />• <br />i' <br />0 <br />Ln <br />Ln <br />1/1 <br />8 <br />co <br />0 <br />13 P03 1 <br />o <br />TOTALTF.D COST <br />$ Increase (Decrease) <br />%Increase (Decrease) <br />MAXIMUM Cl.AIMSODST <br />Oaims 05rridor (70 <br />OJmposite 1550 <br />Maximum Claims Dst . <br />• <br />TOTAL MAXIM UM DOST <br />$ Increase (Decrease) <br />%Increase (Decrease) <br />118 <br />