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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  Out-Of-Pocket Maximums  for  In-Network and Out-of-Network services.   Choose Your Out-of-Pocket Maximums In-Network Out-of-Network Individual $3000 $5000 Family $6000 $10000 Individual $4000 $6000 Family $8000 $12000 Individual $5000 $7000 Family $10000 $14000 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.