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The RHBT is an off-budget fund created by City legislation in 2006 for the exclusive purpose of funding the health and welfare benefits (other than those paid through the Management Benefits Fund) of retired city employees and their dependents. However, the City has no obligation to fund future costs and the RHBT is primarily a conduit for funding health benefits to current retirees on a pay-as-you-go (PAYGO) basis

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A summary of the observed effects is presented in Fig