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Report of Voluntary Premium Contribution Participation as of 07.27.12

Non-Contract:

Name Dept Current Plan New Plan

New Monthly

EE Share

Annual State

Share Savings

(20% only)

Jeannie Adams 005 - DAS UN600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

Linda Anderson 645 - DOT CX600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Laverne Armstrong 401 - DHS 1N400 - D3P 2V400 - D3P 154.46$ 1,711.68$

John Bauercamper 444 - Judicial 1X600 - P3P 1V600 - P3P 359.12$ 761.59$

Carmine Boal 350 - IA Gov CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Jeffrey Boeyink 350 - IA Gov CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Peggy Bowman 112 - Justice SN400 - IA Select SV400 - IA Select 153.04$ 1,702.92$

Terry Branstad 350 - IA Gov CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$Mike Carroll 005 - DAS SN600 - IA Select SV600 - IA Select 358.12$ 808.56$

Cavid Castello 252 - Corr Ft. Dodge SN400 - IA Select SV400 - IA Select 153.04$ 1,702.92$

Gerd Clabaugh 588 - Public Health UN600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

Michael Cormack 282 - Education CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Mary Cownie 259 - Cultural Affairs CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Swati Dandekar 219 - Comm Utilities 1N600 - D3P 2V600 - D3P 361.44$ 649.32$

Jeffrey Dawson 259 - Cultural Affairs SN400 - IA Select CV400 - Blue Access 95.92$ 4,444.68$

Deborah Durham 269 - Econo Dev SN600 - IA Select SV600 - IA Select 358.12$ 808.56$

Rebecca Elming 350 - IA Gov SN400 - IA Select CV400 - Blue Access 95.92$ 4,444.68$

Linda Fandel 282 - Education CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Sharon Findley 350 - IA Gov CN400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

Alicia Freed 350 - IA Gov CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Charles Gipp 542 - DNR CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Darrell Hanson 219 - Comm Utilities CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Danielle Hardon 379 - Human Rights CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Donna Harvey 297 - Dept On Aging CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Stephen Hasenour 409 - DHS Independence CN400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

Lisa Hennessey 645 - DOT UN600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

James Hester 625 - Revenue CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Douglas Hoelscher 350 - IA Gov 1N400 - D3P 2V400 - D3P 154.46$ 1,711.68$

Margaret Hough 350 - IA Gov CN810 - cont Spouse CV400 - Blue Access 95.92$ 2,020.08$

Leo Hough 350 - IA Gov CN800 - Blue Access CV400 - Blue Access 95.92$ 2,020.08$

Elizabeth Jacobs 219 - Comm Utilities CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

David Jamison 270 - IA Fin Authority CN400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

Jenae Jenison 350 - IA Gov CN400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

Joann Johnson 214 - Comm Credit Union CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Lawrence Johnson 350 - IA Gov SN400 - IA Select CV400 - Blue Access 95.92$ 4,444.68$

Courtney Kay-Decker 625 - Revenue SN400 - IA Select SV400 - IA Select 153.04$ 1,702.92$

Monique Kuester 427 - Inspect & Appeals CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Samuel Langholz 428 - Inspect & Appeals CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Stephen Larson * Double Spouse 212 - Comm Alcoh Bev 1N800 - DS D3P 2V800 - DS D3P 180.72$ 2,002.62$

David Lingren 336 - ICN UN600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

Steven Lukan 642 - Office of Drug CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Michael Mauro 309 - IWD CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Lynn McRoberts 350 - IA Gov CN400 - Blue Access CV400 - Blue Access 224.46$ 2,474.88$

Mariannette Miller-Meeks 588 - Public Health CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Michelle Minnehan-Golightly 005 - DAS CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Donna Mueller 553 - IPERS CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Janelle Niebuhr 572 - PERB CN400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

William Northey 009 - AGR SN600 - IA Select SV600 - IA Select 358.12$ 808.56$

Matthew Oetker 112 - Justice SN600 - IA Select SV600 - IA Select 358.12$ 808.56$Brian Ohorilko 429 - Inspect & Appeals CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Timothy Orr 582 - Public Defense CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

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Charles Palmer 401 - DHS CN600 - Blue Access CV600 - Blues Access 224.46$ 2,474.88$

Sara Peterson * Double Spouse 282 - Education 1N800 - DS D3P 2V800 - DS D3P 180.72$ 2,002.62$

James Phillips 645 - DOT SN400 - IA Select SV400 - IA Select 153.04$ 1,702.92$

Steven Ponsetto 595 - Public Safety SN400 - IA Select SV400 - IA Select 153.04$ 1,702.92$

Kimberly Reynolds 350 - IA Gov SN400 - IA Select CV400 - Blue Access 95.92$ 4,444.68$

Terry Rich 627 - Lottery CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Wendy Rickman 402 - DHS SN400 - IA Select SV400 - IA Select 153.04$ 1,702.92$

Rodney Roberts 427 - Inspect & Appeals UN600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

Cloyd Robinson 427 - Inspect & Appeals CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

David Roederer 532 - Mgmt CN600 - Blue Access CV400 - Blue Access 95.92$ 8,644.68$

Rob Sand 112 - Justice CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Todd Schulz 350 - IA Gov CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Tina Shaw 350 - IA Gov CN400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

Susan Shields 244 - Corr Oakdale CN400 - Blue Access CV400 - Blue Access 224.46$ 2,474.88$

M eg an T oo ke r 1 40 - E th ic s & C am pa ig n C N6 00 - B lu e A cc es s C V6 00 - B lu e A cc es s 2 24 .4 6$ 2,474.88$

Beth Townsend 167 - Civil Rights CN400 - Blue Access CV400 - Blue Access 224.46$ 2,474.88$

Lorrie Tritch 005 - DAS CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Paul Trombino 645 - DOT CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Jodi Tymeson 670 - Vet Home Camp Dodge 1N400 - D3P 2V400 - D3P 154.46$ 1,711.68$

Julie Vandehoef 350 - IA Gov DECL CV810 - DSCS Blue Access 112.24$ (5,387.28)$

James Van Fossen 572 - PERB CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

David Vaudt 126 - Auditor 1N400 - D3P 2V400 - D3P 154.46$ 1,711.68$

Siew-San Wong 379 - Human Rights CN600 - Blue Access CV600 - Blue Access 224.46$ 2,474.88$

Mark Schouten 583 - Homeland Security 1X810 - cont Spouse 2V400 - D3P 154.46$ 3,206.70$

Teresa Wahlert 309 - IWD DECL DECL

Jason Glass 282 - Education DECL DECL

TOTAL Non-Contract: 74

AFSCME:

Robert Anderson 212 - Comm Alcoh CX600 - Blue Access CV600 - Blue Acccess 224.46$ 2,474.88$

Peggy Christensen 283 - Voc Rehab CX600 - Blue Access CV600 - Blue Acccess 224.46$ 2,474.88$

Christina Dykstra 625 - Revenue CX600 - Blue Access CV600 - Blue Acccess 224.46$ 2,474.88$

Brian Harrison 009 - AGR CX600 - Blue Access CV600 - Blue Acccess 224.46$ 2,474.88$

Monte Kaufman 252 - Corr Ft. Dodge SX600 - IA Select CV600 - Blue Acccess 224.46$ 4,444.68$

Nancy Koch 248 - Corr Clarinda SV600 - IA Select SV600 - IA Select 358.12$ 808.56$

Jane Larson 270 - IA Finance 1N810 - D3P DSCS 2V810 - D3P DSCS 180.72$ 2,002.62$

Cheryl Meyer 645 - DOT CX600 - Blue Access CV600 - Blue Acccess 224.46$ 2,474.88$

Meridith Myers 402 - DHS CX600 - Blue Access SV600 - IA Select 358.12$ (3,941.28)$

Raymond Olson 228 - CBC8 1X400 - P3P 1V400 - P3P 154.46$ 1,711.68$

Donald Peterson 542 - DNR 1N810 - D3P DSCS 2V810 - D3P DSCS 180.72$ 2,002.62$

Ronald Schappaugh 645 - DOT UX400 - Blue Adv UV400 - Blue Adv 92.32$ 1,020.29$

Denisse Scott 402 - DHS UX400 - Blue Adv UV400 - Blue Adv 92.32$ 1,020.29$

D ari n Th om ps on 4 02 - DHS CX 60 0 - Bl ue Acce ss CV 60 0 - Bl ue Ac cc es s 2 24 .4 6$ 2,474.88$

Dustin Vandehoef 009 - AGR CX600 - Blue Access CV800 - DS Blue Access 112.24$ 7,862.04$

Rick Wood 427 - Inspect & Appeals UX600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

Nancy Yuska 611 - UNI CX400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

TOTAL AFSCME: 17

UE/IUP:

Lori Brandenburg 402 - DHS CI400 - Blue Access CV400 - Blue Access 95.92$ 1,057.56$

Kara Harvey 401 - DHS UI600 - Blue Adv UV600 - Blue Adv 216.04$ 2,387.40$

TOTAL UE/IUP: 2

SPOC:

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Chad Peters 595 - Public Safety AS600 - Alliance Select AV600 - Alliance Select 214.56$ 317.29$

TOTAL SPOC: 1

GRAND TOTAL Participating: 95