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<br /> <br /> <br /> <br /> September 5, 2024 5 <br />BENEFIT SUMMARY <br /> Pay-As- <br />You-Go <br />Cost2 <br />(amounts in $000’s) <br /> <br /> <br />2 Does not include professional service fees <br /> <br /> <br /> <br /> <br /> September 5, 2024 6 <br />BENEFIT SUMMARY <br /> <br />35 40 45 50 55 60 64 <br />Cost by Age 587 632 727 890 1,107 1,368 1,639 <br />Retiree Version 1 Premium 943 943 943 943 943 943 943 <br />Retiree Version 2 Premium 919 919 919 919 919 919 919 <br /> $- <br /> $200 <br /> $400 <br /> $600 <br /> $800 <br /> $1,000 <br /> $1,200 <br /> $1,400 <br /> $1,600 <br /> $1,800 <br />$C <br />o <br />s <br />t <br />/ <br />P <br />r <br />e <br />m <br />i <br />u <br />m <br />Age <br />2024/25 Kaiser Plan - Single Coverage