Medical Rates	Schedule A	Schedule B	Schedule C	Schedule D	Schedule E
Retiree Only	476.82	0.00	0.00	32.50	43.33
Retiree + 1 Dependent	905.96	429.14	0.00	461.64	472.47
Retiree + 2 or More Dependents	1,287.42	810.60	0.00	843.10	853.93
Each Stepchild (newly enrolled after June 30, 2001)	223.57	223.57	223.57	223.57	223.57

Schedule A applies to all Retirees that retired before 1987 and to a Surviving Spouse of a Covered Retiree or Covered Employee that passed away after July 1, 1999 pursuant to the applicable Collective Bargaining Agreement and Human Resources Policies and Procedures.

Schedule B applies to Retirees that retired between 1987 and September 30, 2002 that were Classified as Confidential or Fire and to Retirees that retired after 1987 that were Classified as General, Grant or Police.

Schedule C applies to Retirees that retired after 1987 that were Classified as Executive, Management, Professional or Supervisory; Retirees that retired after September 30, 2002 that were Classified as Confidential; and AFSCME Covered Retirees that retired from the City on a Duty-related disability after January 18, 2001.

Schedule D applies to Fire Retirees that retired in fiscal year 2003 (October 1, 2002 through September 30, 2003).

Schedule E applies to Fire Retirees that retired in fiscal year 2004 (October 1, 2003 through September 30, 2004).


DENTAL	Comprehensive	Premium
Retiree Only	29.28	63.28
Retiree + 1 Dependent	49.49	103.83
Retiree + 2 or More Dependents	68.16	141.26


Term Life Insurance - $5,000 coverage
All Participating Retirees - $8.10 per month