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28O]
<br />6uCDVHT NUMV[R ACCOUNT 0[CCRIPTIUN ACTUALt
<br />71l-0101-67l�]4-16 8[AUHCARE RES. WfLCX 50Y,551
<br />LEVEL TEXT
<br />o5% 1,02 [UPLDYEW X 4500
<br />0EHTAL/VICIDH PR[UIUh Ut[0 OUT OF FLEX
<br />711-8401-671.34-17
<br />0LTUCR[ D[T. g0P -
<br />HEALTH
<br />7,487,861
<br />7110401-671.301O
<br />OKI�IHML
<br />HLTHCAHE R[S GRP-ISO
<br />F[[
<br />158'712
<br />71l-0401-671,94-21
<br />511,176
<br />ADMIH, FEE-SELECT
<br />HEALTH
<br />49,056
<br />70-5481-01.0-2I
<br />258,000
<br />9RIBR YR. FLEX
<br />U
<br />26'846
<br />711
<br />34-23
<br />SH/TU JI)ICA0ILITY
<br />600
<br />77,657
<br />711-0401-671,34-24
<br />�,l�0
<br />0[P[HD[8T CARE
<br />3,50U
<br />29 300
<br />LEVEL TEXT
<br />4U8
<br />4UO
<br />9'656,240
<br />Y,172'326
<br />O01 THIS PREMIUM
<br />IS
<br />FULLY R[IU88RS[0
<br />8Y CUPLOYE[t
<br />AND
<br />THE SAM[
<br />AMOUNT
<br />HAS BEEN 8U0Q[T[0
<br />AC K[V[HU[
<br />FOK
<br />005
<br />237,668
<br />711-0401-071.34-25 PRIOR YEAR DEPENDANT C*0[
<br />711-0401-671.31-26 SPECIFIC STOP LOSS PR[MI.
<br />711-0401-671.30IB HEALTH CL5C DV[K CTP/L00
<br />711-8401-671�39-10 3UDJCRIp7IDNS
<br />71�-O4O1-6�1��-ll
<br />DUES
<br />711-Q�O1-671�Y-7O [0QCATIDH & TRAIHIHg
<br />711-0401-671. 39-89 DTH[R CERVICES & CHARGES
<br />* DTHEQ SERVICES K CHARGES
<br />OTH[R f3[S
<br />711-*01-671�5U-85 ADMINISTRATIVE COST
<br />LEV[L TEXT
<br />801 GENERAL FUND A0MIH,
<br />* OTHER USE-IS.
<br />** CDKTROiL[R
<br />**m SELF [VH0[0 [UPLDYEE 0CH[
<br />200i
<br />8V0KS
<br />}15.Y5U
<br />4Y7^5Y1
<br />TEXT ANT
<br />611.000
<br />86'800-
<br />525,000
<br />6'81Y,072
<br />157'564
<br />2y']16
<br />J1,470
<br />41,574
<br />12,4]1
<br />TEXT 8#T
<br />2},70O
<br />8,YJ0'000
<br />!T6 100
<br />57^U46
<br />U
<br />m,m0
<br />2!,7O0
<br />8,785,080
<br />1Y4,175
<br />38 "OR
<br />0
<br />55,0O8
<br />23,7O0
<br />23,7Oo
<br />lOO�
<br />2805
<br />ORI�IRAL
<br />OKI�IHML
<br />BUDGET
<br />BUDGET
<br />525,000
<br />n5,0VV
<br />8,YJ0'000
<br />!T6 100
<br />57^U46
<br />U
<br />m,m0
<br />2!,7O0
<br />8,785,080
<br />1Y4,175
<br />38 "OR
<br />0
<br />55,0O8
<br />23,7O0
<br />23,7Oo
<br />2,014
<br />2,1V1
<br />A
<br />0
<br />487,651
<br />5ll,418
<br />511,176
<br />565,82
<br />223.Y57
<br />325,117
<br />250,000
<br />258,000
<br />60
<br />U
<br />1,80U
<br />1,000
<br />747
<br />579
<br />600
<br />600
<br />2,10
<br />�,l�0
<br />�'5U0
<br />3,50U
<br />0
<br />U
<br />4U8
<br />4UO
<br />9'656,240
<br />Y,172'326
<br />11,307,422
<br />11,235,077
<br />162,548
<br />168,Y4y
<br />168'Y4Y
<br />237,668
<br />TEXT ANT
<br />237,668
<br />Z�7.6�8
<br />______
<br />162,548
<br />168,949
<br />168 YIN
<br />237,668
<br />Y,Y04,�41
<br />______
<br />y,4]�,00Y
<br />______
<br />11,5Oq,9R]
<br />______
<br />11,5��'10Y
<br />_______
<br />9,104,541
<br />7,43S'007
<br />11,s84,483
<br />11,583,1Ov
<br />
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