The document outlines the City of Hoboken's budget worksheets for employee health benefits in 2010. It provides details on projected costs for items like group health, prescription coverage, dental, and vision. It estimates total health costs of $16 million and calculates charge backs of 2.18% of costs to the library ($313,240) and 4.08% to parking ($585,529) to cover their portions of employee health benefits. The worksheets include current and projected rates for monthly costs, estimated annual expenditures, and budget requests for key line items.

1. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 1 OF 7
Department: Account Number: Line Item Name:
Group Health
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
Per Month #of Months
Current Rate 883,000.00 6= 5,298,000 5,298,000
W/10% Increase 971,300.00 6= 5,827,800 5,827,800
-
Potential Savings From New Plan 1/2 of one years amount x Projected 20% increase. -
1,000,000 500,000 + 100,000 (600,000) (600,000)
-
-
-
-
-
-
-
* Describe all components that comprise this line item with justifications for any Total 10,525,800 10,525,800
proposed increases or decreases.
Attach documentation as necessary

2. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 2 OF 7
Department: Account Number: Line Item Name:
Medicare Part B
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
480,000 480,000
* Describe all components that comprise this line item with justifications for any Total 480,000 480,000
proposed increases or decreases.
Attach documentation as necessary

3. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 3 OF 7
Department: Account Number: Line Item Name:
Prescription
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
Per Month #of Months
Current Rate 250,000.00 6= 1,500,000 1,500,000
W/10% Increase 275,000.00 6= 1,650,000 1,650,000
-
-
-
-
-
-
-
-
-
* Describe all components that comprise this line item with justifications for any Total 3,150,000 3,150,000
proposed increases or decreases.
Attach documentation as necessary

4. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 4 OF 7
Department: Account Number: Line Item Name:
Dental
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
Per Month #of Months
Current Rate 45,000.00 6= 270,000 270,000
W/10% Increase 49,500.00 6= 297,000 297,000
-
-
-
-
-
-
-
-
-
* Describe all components that comprise this line item with justifications for any Total 567,000 567,000
proposed increases or decreases.
Attach documentation as necessary

5. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 5 OF 7
Department: Account Number: Line Item Name:
Vission MEDICAL
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
Per Month #of Months
Current Rate 10,000.00 6= 60,000 60,000
W/10% Increase 11,000.00 6= 66,000 66,000
-
-
-
-
-
-
-
-
-
* Describe all components that comprise this line item with justifications for any Total 126,000 126,000
proposed increases or decreases.
Attach documentation as necessary

6. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 6 OF 7
Department: Account Number: Line Item Name:
Library Charge Back
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
Total Health Library Reimbursement Rate -
16,000,000 348,000 2.18% -
-
-
Projected Charge Back 14,368,800 2.18% (313,240) (313,240)
-
-
-
-
-
-
* Describe all components that comprise this line item with justifications for any Total (313,240) (313,240)
proposed increases or decreases.
Attach documentation as necessary

7. CITY OF HOBOKEN O.E. BUDGET WORKSHEETS
BUDGET YEAR: 2010
PAGE 7 OF 7
Department: Account Number: Line Item Name:
Parking Charge Back
2009 Appropriation: 2009 Expenditure (est.): 2010 Request:
Description and Detailed Explanation* Request Recommended#
Total Health Parking Reimbursement Rate -
16,000,000 652,000 4.08% -
-
-
Projected Charge Back 14,368,800 4.08% (585,529) (585,529)
-
-
-
-
-
-
-
* Describe all components that comprise this line item with justifications for any Total (585,529) (585,529)
proposed increases or decreases.
Attach documentation as necessary