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Ashley Groffenberger, the citys chief financial officer, sent a letter to the City Council on Monday, saying health insurance rates for city employees are poised to spike by nearly 23 percent in the fiscal year that starts in July the highest year-over-year increase in premium costs the city has seen in recent history. Boston included $483 million for all health-related benefits for employees and retirees in its budget for this fiscal year, according to the city

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