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Open Enrollment Event             Medical       Choose Your Plan       Build Your Plan       - Deductibles         - PCP Coinsurance         - Out-of-Pocket Maximums       Medical Summary     Dental     Flexible Spending     Disability     Life     Benefits Summary        Select Benefits  Sign Up  Confirm Enrollment   Exit Event   Reminder. You selected: Custom Choice Fund 500, Employee + Family Custom Choice Fund 500, Employee Only Custom Choice Fund 500, Employee + Spouse This benefit applies to your annual individual and family  deductibles  for  In-Network and Out-of-Network services. You must satisfy the annual deductible before you are reimbursed unless otherwise noted in the plan summary.   Choose Your Deductibles In-Network Deductible Out-of-Network Deductible Individual $1250 $2000 Family $2500 $4000 Individual $1750 $2750 Family $3500 $5500 Individual $2250 $3500 Family $4500 $7000 What's covered™ Review the plan summary for more information How it adds up™ Weekly Bi-Weekly Semi-Monthly Monthly Annual   Total Plan Cost   Medical   $630.93 Employer Contribution   Medical   $500.00   Your Contribution   Medical $130.93 For All Benefits $130.93 Legal Disclaimer,  Privacy Policy, (06/10/2006) Copyright© 2000-2006 Choicelinx Corporation. All rights reserved.