| |
|
CORE |
BASIC |
| Deductible In-Network |
|
400.00 |
1,000.00 |
| Medical Coverage - Employee Only |
|
446.29 |
246.24 |
| $4500 Life Insurance |
|
1.25 |
1.25 |
| $4500 Life Insurance and Medical on Self Only |
|
447.54 |
247.49 |
| $4500 Life Insurance on Self and $500 Life Insurance on Spouse - No Medical Coverage |
|
2.23 |
2.23 |
| Medical Coverage on Self and Spouse |
|
830.41 |
460.47 |
| Medical Coverage on Self and spouse with $4500 Life Insurance on Self |
|
831.66 |
461.72 |
| Medical Coverage on Self and Spouse with $4500 Life Insurance on Self and $500 Life Insurance on Spouse |
|
832.64 |
462.70 |
| Medical Coverage on Self, Spouse and Dependents |
|
1124.85 |
615.60 |
| Medical Coverage on Self, Spouse and Dependents; $4500 Life on Self |
|
1126.10 |
616.85 |
| Medical Coverage on Self, Spouse and Dependents; $4500 Life on Self; $500 on Spouse |
|
1127.08 |
617.83 |
|
