ESBD_521004_1780004996397_Exhibit A-17 YOY Rates.xlsx

This is a rate schedule exhibit for a health insurance benefits contract showing year-over-year premium rates for multiple medical and ancillary plans across three years (2024, 2025, and 2026). The file presents monthly premium costs organized by coverage level (Employee Only, Employee + Spouse, Employee + Children, and Employee + Family) for medical plan options including TMN EPO Plan, ACO Local Plan, and HDHP HSA EPO Plan, as well as supplemental dental, vision, and basic coverage options. The rates are presented in a comparative format to demonstrate rate progression and plan evolution across the three-year period, with the most recent rates shown for 2026.

Medical plan premiums show increases across all coverage levels from 2024 to 2026, with the TMN EPO Plan ranging from $918.05 (EE Only in 2024) to $1,137.99 (EE Only in 2026), and family coverage increasing from $2,835.33 to $3,766.76 over the same period. Dental plans are offered at two coverage tiers (Basic and Premium) with stable or modest increases, while vision plans include both Basic and Plus options with minimal premium variation year-over-year. The ACO Local Plan shows some year-over-year fluctuation, with 2026 rates lower than 2025 but higher than 2024. Ancillary coverage rates for dental and vision remain relatively modest compared to medical premiums, with dental ranging from approximately $35-$165 monthly depending on plan and coverage level, and vision coverage from approximately $6-$26 monthly.