- 17 -
Premium (from Section 2) [22]576.00
Spouse’s Long Term Care Insurance
Premium (from Section 2) [23]524.00
* * * * * * *
Medical expenses from Jan to Dec 2002
(from Sections 3 & 4) [24]2606.00
* * * * * * *
Section 2. Insurance Benefits
* * * * * * *
Major Medical/Health Insurance
Insured Insurance Period of Annual Amount Last Date
Company Coverage Paid Paid
Wellmark total
BC & BS months 12 9529.20 12/05/02
Conseco total
Health Ins months 12 548.00 04/08/02
Co. (Cancer)
22The amount shown is the amount, rounded to the nearest
dollar, of the premiums (i.e., $575.96) shown under the heading
“Long Term Care Insurance” for the “Employee” in “Section 2.
Insurance Benefits” quoted below.
23The amount shown is the amount, rounded to the nearest
dollar, of the premiums (i.e., $523.60) shown under the heading
“Long Term Care Insurance” for the “Spouse” in “Section 2.
Insurance Benefits” quoted below.
24The parties stipulated that the amount of “Medical ex-
penses from Jan to Dec 2002" shown under “BENEFIT TOTALS” in Ms.
Frahm’s 2002 employee benefit expense form, which consisted
solely of noninsurance medical expenses, should have been shown
in that form as $2,784. We have not attempted to determine
whether that stipulated amount is the correct total of all of the
noninsurance medical expenses listed in “Section 3 Medical
Expenses” and “Section 4 Medical Expenses” of Ms. Frahm’s 2002
employee benefit expense form. That is because those expenses
are not at issue in this case. See supra note 20.
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Last modified: March 27, 2008