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<br />EXHIBIT <br />for <br /> <br />CITY OF PARIS <br />Group Name <br /> <br />25724 <br />Group Number <br /> <br />ITEK I <br /> <br />These specifications are for the CONTRACT YEAR which shall commence on November 1. <br />1985 and end on October 31. 1986. <br /> <br />ITEM II <br /> <br />The ACCOUNTING PERIOD shall commence on November 1. 1985 and end on October 31. <br />1986. <br /> <br />ITEM III <br /> <br />The DRAFT AUTHORITY (Column C)shall be calculated monthly and be equal to the sum of <br />the products obtained by multiplying respectively the number of Health Certificates <br />exposed for a particular month by $36.50 for each single Health Certificate. $63.78 <br />for each Health Certificate with child(ren). $95.24 for each Health Certificate with <br />spouse. and $117.62 for each Health Certificate with family. <br /> <br />ITEM IV <br /> <br />SPECIFIC STOP LOSS INSURANCE for benefits paid under the Health Contract is either: <br /> <br />(a) <br /> <br />applied for and all Health Contract benefits paid in excess of <br />$ per Health Certificate per Contract Year shall not be <br />included as an Incurred Health Benefit. This amount is guaranteed <br />for the indicated Contract Year. <br /> <br />or <br /> <br />(b) <br /> <br />x <br /> <br />applied for and all Health Contract benefits paid in excess of <br />$30.000 per Participant per Contract Year shall not be <br />included as an Incurred Health Benefit. This amount is guaranteed <br />for the indicated Contract Year. <br /> <br />or <br /> <br />(c) <br /> <br />not applied for. <br /> <br /> <br />., <br /> <br />