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6 <br />ffi <br />C <br />To <br />8 <br />y <br />C) <br />L <br />G7. <br />_ <br />F E 4 <br />i fV• <br />fffAAA <br />• <br />Medical & Fa( <br />125% <br />$1,000,000 <br />48/12 <br />$1.57 <br />$29.202.00 <br />67, <br />762.30 <br />$14,178,854.40 <br />$271,411.20 <br />1.95% <br />$14,645,342.40 <br />$282,199.20 <br />1.96% <br />125% <br />$952.88 <br />T1$17,723,568.00� <br />$18,190,056.00 <br />$350,052.00 <br />1.96% <br />$275,000 <br />$148,750 <br />Unlimited <br />Unlimited <br />24/12 <br />$22.82 <br />—. $424,452.00 <br />� <br />08 <br />2 <br />t <br /># <br />'g <br />,k, E'ci <br />' <br />h9 t 44 <br />i• . <br />8 <br />g t6; <br />, <br />µ <br />747.37 <br />$13,901,044.80 <br />-$6,398.40 <br />-0.05% <br />$14,353,396.80 <br />($9,746.40) <br />-0.07% <br />125% <br />$934.21 <br />yAyy1 $17,376,306.00' <br />-- ^ V� . S �'w. N <br />$17,828,658.00 <br />($11,346.00) <br />-0.06% <br />§gi8i <br />Di a S <br />1 <br />2I <br />b9 I r <br />Medical & FD( <br />125% <br />$1,000,000 <br />48/12 <br />$1.54 <br />. . $28,644.00- <br />759.32 <br />x,644.00 <br />88 o <br />g gl <br />o •, <br />Ir) O <br />f '; <br />.- <br />i�yEEIn <br />a. . <br />759.32 <br />$14,123,352.00 --- — <br />$215,908.80 <br />1.55% <br />$14,629,086.00 <br />$265,942.80 <br />1.85% <br />125% <br />$949.15 <br />• $17;654,190.00' -• <br />. <br />R, • <br />$18,159,924.00 <br />$319,920.00 <br />1.79% <br />lief ivTvifiChntirlcl'l Inurrpnn�CTtnrp�iny, <br />$250,000 <br />$148,750 <br />Unlimited <br />Unlimited <br />36/12 <br />$22.28 <br />$414,408.00 <br />Medical 8 RK <br />125% <br />$1,000,000 <br />36/12 <br />$2.22 <br />$41:292..00 ., <br />8 <br />8 < < <br />toi <br />fi• <br />747.71 <br />$13,907,443.20 <br />N/A <br />N/A <br />$14,363,143.20 <br />$0.00 <br />0.00% <br />125% <br />$934.64 <br />$17,384,304.00 . <br />cyJ✓76"yi1#L �, �y• M Z <br />$17,840,004.00 <br />N/A <br />N/A <br />2E1=4E= <br />L= <br />SJedfic Deductible <br />Aggregating S3edfic Deductible <br />Lifetime Maximum (For Fbrson) <br />Annual Maximum <br />Claims Basis <br />Cbmposite lute 1550 <br />Annual Premium <br />ACTS SRIF' L <br />Included Coverage <br />Loss Corridor <br />Annual Maximum <br />Claims Basis <br />Composite Rate 1550 <br />Annual FTemium <br />Total Axed Cbsts <br />$ Increase (Decrease) <br />%Increase (Decrease) <br />2 <br />O <br />In <br />N <br />vs <br />8 <br />coE <br />0 <br />8 <br />c ig <br />t1� <br />83 N <br />b b <br />69 o <br />TOTAL D<PE'fFp COST <br />$ Increase (Decrease) <br />%Increase (Decrease) <br />MAXIMUM C]AIMSCD&T <br />Claims Corridor % <br />Composite 1550 <br />Maximum Claims Cbst <br />TOTAL MAXIMUM COT <br />• <br />$ Increase (Decrease) <br />% Increase (Decrease) <br />8 <br />C <br />O <br />C <br />8 <br />119 <br />