<xs:element name="ContributionTiersList" xmlns:xs="http://www.w3.org/2001/XMLSchema">
  <xs:complexType>
    <xs:sequence>
      <xs:element name="EmployeeBenefitCoverageElectionRetirementContributionTier">
        <xs:complexType>
          <xs:sequence>
            <xs:element type="xs:float" name="LowerBounds" />
            <xs:element type="xs:float" name="UpperBounds" />
            <xs:element type="xs:float" name="ContributionAmount" />
          </xs:sequence>
        </xs:complexType>
      </xs:element>
    </xs:sequence>
  </xs:complexType>
</xs:element>