| Member | Answers |
| Member A | — |
| Member B | — |
| Member C | — |
| Member D | — |
| Member E | See Insurance Rates sheet for breakdown of EE cost for dependent coverage |
| Member F | — |
| Member G | — |
| Member H | Self-insured three-tier option with premium based on option selected: EE Only = No premium, EE +1 = 18%, EE + Family = 24% |
| Member I | Employee free for HMO but must contribute for PPO. Percentages vary depending on plan. |
| Member J | — |
| Member K | — |
| Member L | #8 Only Mandatory if the employee elects the City's health insurance |
| Member M | — |
| Member N | — |
| Member O | — |
| Member P | — |
| Member Q | We have 4 tiers = EE, E+Sp, E+CH & E+Fam - I used the EE+Sp Tier for % FAMILY DHMO = 66.17% PPO = 76.21% |
| Member R | — |
| Member S | — |