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Please review your plan selection below. To change your plan, click on the link listed under Plan Selection. To finalize your plan selection click Next  below.

  Medical Benefits Summary
Plan Selection
Custom Choice Fund 500, Employee + Family
Benefit Description     Your Benefits
 
Deductible    
Coinsurance    
OOP Maximum    
Medical Total     $130.93  
  How it adds up
 
For Medical     Monthly
Total Plan Cost     $630.93  
Employer Contribution     $500.00  
Employee Contribution     $130.93  

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