Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of July 1, 2017: Employee Only $485.29 Employee plus Spouse $970.60 Employee plus Child(ren) $849.27 Employee plus Family $1,334.57 The provisions included in this Exhibit are applicable only to the class of Eligible Persons described below.

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Members as of January 1, 2023 is shown below: Active and Cobra Employee Only $616.82 Active and Cobra Employee plus Spouse $1,357.00 Active and Cobra Employee plus Child(ren) $1,110.29 Active and Cobra Employee plus Family $1,850.46 CA AB1401 Employee Only $678.50 CA AB1401 Employee plus Spouse $1,492.70 CA AB1401 Employee plus Child(ren) $1,221.32 CA AB1401 Employee plus Family $2,035.51 The provisions included in this Exhibit are applicable only to the class of Eligible Members described below.

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of September 1, 2015 is shown below: Actives Cobra & retirees Employee Only $595.11 Actives Cobra & retirees Employee plus One Dependent $1,190.22 Actives Cobra & retirees Employee plus Family $1,844.84 Changes to this Schedule of Premium Rates and/or subsequent Schedules of Premium Rates will be attached to this Policy by means of a Notice of Change to Exhibit 2. Use this section as a sample for other state-specific exhibits The Enrolling Group agrees to implement a wellness program that rewards Subscribers and Enrolled Dependent spouses with incentives for completing certain wellness criteria, as determined by us. The Enrolling Group further agrees to implement at least the following program requirements:  Provide an announcement letter sent to all the Enrolling Group's employees from the Enrolling Group's owner or a senior executive, promoting the incentive program.  Sponsor at least one health fair/wellness event within the first 120 days, or later based on our discretion, of the Policy year (including a biometric screening), making commercially reasonable effort to encourage attendance. The biometric screening event must be held the same day as the health/wellness event during standard hours for screening events, which are Monday through Friday, 5:00 a.m. to 7:00 p.m., EST. After receiving at least 60 days prior written notice for event implementing, we will cover the cost of a single biometric screening, per event, per year, for each Subscriber and Enrolled Dependent spouse participating in such screenings at the Enrolling Group's fair/wellness event. If less than 0 individuals participate in such biometric screening, we may impose an additional fee on Enrolling Group.  Provide information necessary to facilitate promotional activities. The Enrolling Group agrees it will meet formally two times per year with its broker and our representative. These meetings will be with the Enrolling Group's owner or a senior executive of the Enrolling Group. The first meeting must occur early in the Policy year to address the details of implementing the Enrolling Group's obligation as described in this Exhibit. The second meeting must occur at least 120 days, or later based on our discretion, prior to the anniversary date of the Policy. Enrolling Group acknowledges incentives can only be earned by Subscribers and Enrolled Dependent spouses once during an incentive period. Fo...

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of July 1, 2017:

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Members as of January 1, 2023 is shown below:

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Premium Rates No recapture will be permitted if the Ceding Company has either obtained or increased stop loss reinsurance coverage as justification for the increase in retention limits.
Schedule of Payments The City shall pay the Company and amount of $75,000.00 within 60 days after the Company has complied with all of the conditions in Section 2(a) (Prerequisites to Payments).
Schedule of Rates The specific rates and costs applicable to this Agreement are set forth in Exhibit B – Schedule of Rates, which is attached hereto and incorporated herein by reference as if set forth in full.
Schedule of Rates and Charges Any subconsultant rates and charges set forth in the Schedule of Rates and Charges must be the subconsultant’s actual rates and charges exclusive of any markup. The City will compensate the Consultant in accordance with those rates and charges.
Interest Rates Payments and Calculations (a) Interest Rate. Except as set forth in Section 2.3(b), or as ------------- specified to the contrary in any Loan Document, any Advances under this Exim Agreement shall bear interest, on the average daily balance, at a rate equal to the Prime Rate per annum.
Amendments to Schedule of Receivables If the Servicer, during a Collection Period, assigns to a Receivable an account number that differs from the original account number identifying such Receivable on the Schedule of Receivables, the Servicer shall deliver to the Issuer, the Owner Trustee and the Indenture Trustee, on or before the Payment Date relating to such Collection Period, an amendment to the Schedule of Receivables reporting the newly assigned account number, together with the old account number of each such Receivable. The first such delivery of amendments to the Schedule of Receivables shall include monthly amendments reporting account numbers appearing on the Schedule of Receivables with the new account numbers assigned to such Receivables during any prior Collection Period.
Benefits – Prepayment or Repayment of Premiums During Unpaid Portion of Leave 11.4.1 Teachers may prepay or repay benefit premiums payable during the duration of parental leave. 11.4.2 Subject to the terms and conditions of the benefits insurance carrier policies, teachers on parental leave may make arrangements through the School Division to prepay one hundred (100) per cent of the benefit premiums for applicable benefits provided for in the existing collective agreement, for a period of up to eighteen (18) months. 11.4.3 Notwithstanding clause 11.3, subject to the terms and conditions of the benefits insurance carrier policies, upon request by the teacher, the School Division will continue paying the School Division portion of the benefit costs for a teacher on parental leave, for the remainder of the parental leave, up to eighteen (18) months, provided the teacher repays the School Division portion of the benefit premiums. 11.4.4 A teacher who commits to clause 11.4.3 is responsible to repay the amount of the School Division paid benefit premiums, and shall reimburse the School Division upon return from the leave, in a mutually agreeable, reasonable manner over the period of no more than eighteen (18) months following the teacher’s return to duty. 11.4.5 If a teacher fails to return to their teaching duties, the teacher shall be responsible to forthwith repay the School Division paid benefit premiums, and shall reimburse the School Division upon receipt of an invoice. 11.4.6 If a teacher has not fully repaid the cost of benefit premiums previously paid by the School Division under clause 11.4.3 the teacher is not eligible to reapply for additional consideration under clause 11.4.3.
SCHEDULE OF PRICES AND TERMS Competitive Supplier agrees to provide All-Requirements Power Supply and other related services as expressly set forth herein in accordance with the prices and terms included in Exhibit A to this ESA, which Exhibit is hereby incorporated by reference into this ESA.
Repayment Schedule Repayments shall be made semiannually (twice per year). The Semiannual Loan Payment shall be computed based upon the principal amount of the Loan plus the estimated Loan Service Fee and the principle of level debt service. The Semiannual Loan Payment amount may be adjusted, by amendment of this Agreement, based upon revised information. After the final disbursement of Loan proceeds, the Semiannual Loan Payment shall be based upon the actual Project costs, the actual Loan Service Fee and the Loan Service Fee capitalized interest, if any, and actual dates and amounts of disbursements, taking into consideration any previous payments. Actual Project costs shall be established after the Department's inspection of the completed Project and associated records. The Department will deduct the Loan Service Fee and any associated interest from the first available repayments following the Final Amendment. Each Semiannual Loan Payment shall be in the amount of $140,599 until the payment amount is adjusted by amendment. The interest portion of each Semiannual Loan Payment shall be computed on the unpaid balance of the principal amount of the Loan, including Capitalized Interest. Interest also shall be computed on the unpaid balance of the Loan Service Fee. Interest shall be computed as of the due date of each Semiannual Loan Payment. Semiannual Loan Payments shall be received by the Department beginning on October 15, 2021 and semiannually thereafter on April 15 and October 15 of each year until all amounts due hereunder have been fully paid. Funds transfer shall be made by electronic means. The Semiannual Loan Payment amount is based on the total amount to be repaid of $5,105,900, which consists of the Loan principal and the estimated Loan Service Fee.
CONTRACT EXHIBIT I PREFERRED PRICING AFFIDAVIT This preferred-pricing affidavit is entered into in accordance with section 216.0113, F.S., and as required by Contract No. 80101507-21-STC-ITSA (“Contract”) between (“Contractor”) and the Department of Management Services. As the person authorized by Contractor to sign this affidavit, I attest that the Contractor is in full compliance with the preferred-pricing clause of the Contract. Contractor’s Name: By: Signature Printed Name/Title Date: STATE OF COUNTY OF Sworn to (or affirmed) and subscribed before me this day of , by Vendor Name: FEIN# Vendor’s Authorized Representative Name and Title: Address: City, State, and Zip code: Phone Number: ( ) - E-mail: CORPORATE SEAL (IF APPLICABLE) (Print, Type, or Stamp Commissioned Name of Notary Public) [Check One] Personally Known OR Produced the following I.D.

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