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. - . ^ ♦ • <br /> EXHIBIT A <br /> CITY OF DECATUR <br /> "Administrator" Fees: <br /> Administration Services <br /> 11/1/04— 10/31/OS $13.00 PEPM <br /> 11/1/OS — 10/31/06 $13.50 PEPM <br /> 11/1/06— 10/31/07 $14.00 PEPM <br /> U/M Pre-Cert Fee 11/1/04— 10/31/OS $ 3.00 PEPM <br /> 11/1/OS — 10/31/06 $ 3.25 PEPM <br /> 11/1/06— 10/31/07 $ 3.50 PEPM <br /> PPO Access Fee 11/1/04— 10/31/OS $ 3.50 PEPM <br /> 11/1/OS — 10/31/06 $ 3.50 PEPM <br /> 11/1/06— 10/31/07 $ 3.50 PEPM <br /> Health Management Program O1/1/OS — 10/31/OS $ 3.50 PEPM <br /> 11/1/06— 10/31/06 To Be Negotiated <br /> Run-out Claims Administration The current in-force fee at time of <br /> termination payable by month for three (3) <br /> months, if the Plan elects for Consociate to � <br /> process the run-out. Run-out administration <br /> fees are to be paid fully in advance of <br /> services.) <br /> "Administrator": City of Decatur Illinois <br /> Cons ci te, Inc. <br /> By: � � By: <br /> , <br /> Title: �� d� Title: <br /> Date: �� `► � � Date: <br /> 13 <br />