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<br />Group Name: <br /> <br />Effective Date: <br /> <br />Cass County Personnel <br /> <br />January 1,2007 <br /> <br />SUGGESTED FUNDING LEVEL AT EXPECTED COST <br /> <br />Single <br /> <br />SPD <br /> <br />Family <br /> <br />SC 100 8-03 <br /> <br />$347.72 <br /> <br />611.98 <br /> <br />904.06 <br /> <br />SC 100 OOA 8-03 <br /> <br />$357.96 <br /> <br />630.01 <br /> <br />930.69 <br /> <br />SUGGESTED FUNDING LEVEL AT MAXIMUM COST <br /> <br />Single <br /> <br />SPD <br /> <br />Family <br /> <br />$409.81 <br /> <br />721.26 <br /> <br />1,065.49 <br /> <br />RX: Creditable <br />Note: Net of BlueCard fees. <br /> <br />$422.10 <br /> <br />742.90 <br /> <br />1,097.45 <br /> <br />10033 <br /> <br />DSC 225 <br /> <br />$39.20 <br /> <br />102.22 <br /> <br />$47.04 <br /> <br />122.67 <br />