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Choose Your Medical Plan
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Weekly
Bi-weekly
Monthly
Annual
Semi-monthly
Plan Choices
Your
Contribution
Employer
Contribution
Total
Plan Cost
Custom Choice Fund 500
Employee
$25.80 - $63.91
$175.00
$200.80 - $238.91
Employee + One
$42.58 - $128.04
$345.00
$397.58 - $473.04
Employee + Family
$76.30 - $185.69
$500.00
$576.30 - $685.69
Nework Plan
Employee
$40.01
$175.00
$215.01
Employee + One
$80.73
$345.00
$425.73
Employee + Family
$117.12
$500.00
$617.12
Standard PPO Plan
Employee
$65.91
$175.00
$240.91
Employee + One
$130.04
$345.00
$475.04
Employee + Family
$187.69
$500.00
$687.69
I choose to
waive
my Medical benefit.
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