2005 NOTICE OF ELECTION FORMS RECEIVED

2005 NOTICE OF ELECTION FORMS RECEIVED AUTOMOBILE HIGH DEDUCTIBLE AGENCY ADMINISTRATION ADMIN-APPELLATE COMMERCE DNRC DNRC-SWAN RIVER TRANSPORTATION SUPREME COURT HELENA COLLEGE OF TECHNOLOGY $500 $1,000 $2,500 X X X X X X PROPERTY HIGH DEDUCTIBLE EARNED AMOUNT $5,000 DISCNT SAVED X X X X X X X X 10% 10% 10% 5% 5% 5% 10% 5% $26,618 $4 $1,871 $2,208 $177 $5,871 $33 $961 EARNED AMOUNT DISCNT SAVED $2,500 20% 20% 5% 5% 20% 5% $35 $343 $522 $30