Attachment to:
COMPTROLLER'S MEMORANDUM NO. 2001-31
May 4, 2001
| MSA TABLES 100% EMPLOYEE SHARE | |||
|---|---|---|---|
| Bi-Weekly Rates | |||
| SORT | TABLE | EMPLOYEE | |
| CODE | NO | DEDUCTION | |
| CHART AA Blue Cross Preferred POS | 00001 | D/OEs= PRE-TAX 7K, POST-TAX 7I | |
| INDIVIDUAL | 561 | 180.74 | |
| SUB+1 | 581 | 397.63 | |
| FAMILY | 562 | 488.01 | |
| CHART BB BlueCare Point of Enrollment | 00079 | D/OEs= PRE-TAX 6S, POST-TAX 6Q | |
| INDIVIDUAL | 590 | 120.56 | |
| SUB+1 | 591 | 265.23 | |
| FAMILY | 592 | 325.51 | |
| CHART CC BlueCare Point of Service | 00077 | D/OEs= PRE-TAX 7V, POST-TAX 7T | |
| INDIVIDUAL | 572 | 127.05 | |
| SUB+1 | 573 | 279.50 | |
| FAMILY | 574 | 343.03 | |
| CHART DD ConnectiCare HMO Personal Care | 00006 | D/OEs= PRE-TAX 6M, POST-TAX 6K | |
| INDIVIDUAL | 569 | 103.76 | |
| SUB+1 | 570 | 228.27 | |
| FAMILY | 571 | 280.15 | |
| CHART EE Health Net Charter HMO | 00259 | D/OEs= PRE-TAX 6X, POST-TAX 6V | |
| INDIVIDUAL | 593 | 127.77 | |
| SUB+1 | 594 | 281.10 | |
| FAMILY | 595 | 344.99 | |
| CHART FF Blue Cross Dental A&C | 00159 | D/OEs= PRE-TAX 5X, POST-TAX 49 | |
| INDIVIDUAL | 598 | 11.53 | |
| FAMILY | 599 | 35.22 | |
| CHART GG CIGNA Dental | 00185 | D/OEs= PRE-TAX 5Y, POST-TAX 52 | |
| INDIVIDUAL | 734 | 7.36 | |
| SUB+1 | 735 | 16.20 | |
| FAMILY | 736 | 19.88 | |
| CHART HH Blue Cross Out of Area | 00001 | D/OEs= PRE-TAX 7Q, POST-TAX 7N | |
| INDIVIDUAL | 249 | 176.31 | |
| SUB+1 | 582 | 387.89 | |
| FAMILY | 250 | 476.04 | |
| CHART II BlueCare POE Plus | 00078 | D/OEs= PRE-TAX 5D, POST-TAX 5E | |
| INDIVIDUAL | 300 | 115.13 | |
| SUB+1 | 301 | 253.29 | |
| FAMILY | 302 | 310.85 | |
| CHART JJ Health Net Charter POS | 00261 | D/OEs= PRE-TAX 5M, POST-TAX 5N | |
| INDIVIDUAL | 362 | 131.44 | |
| SUB+1 | 363 | 289.16 | |
| FAMILY | 364 | 354.88 | |
| CHART KK HealthNet Passport HMO | 00260 | D/OEs= PRE-TAX 5U, POST-TAX 5V | |
| INDIVIDUAL | 413 | 125.21 | |
| SUB+1 | 414 | 275.45 | |
| FAMILY | 415 | 338.06 | |
| CHART LL CTCARE POS Open Access | 00052 | D/OEs= PRE-TAX 8P, POST-TAX 8M | |
| INDIVIDUAL | 478 | 123.97 | |
| SUB+1 | 479 | 272.74 | |
| FAMILY | 480 | 334.73 | |
| CHART MM CTCARE HMO Open Access | 00054 | D/OEs= PRE-TAX 8U, POST-TAX 8S | |
| INDIVIDUAL | 481 | 115.66 | |
| SUB+1 | 482 | 254.45 | |
| FAMILY | 483 | 312.27 | |
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