You pay a yearly fee for license and hosting, calculated on the expected yearly number of tickets. The higher the number of tickets, the lower the corresponding fee per ticket (typically between $0.50 and $0.20 per ticket).
Just like with the 5 year license, a fee for license and hosting is calculated based on the expected yearly number of tickets. Logically, the corresponding fee per ticket is lower with a 5 year license.
Regardless of which pricing you choose, this is included: