 BASIC |
|
| Annual cost: | $665.00 |
| Paid by plan: | $0.00 |
| Paid by you: | $665.00 |
| Payroll deduction: | $25.57 |
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PLAN INFORMATION
 ENHANCED |
|
| Annual cost: | $1407.00 |
| Paid by plan: | $0.00 |
| Paid by you: | $1407.00 |
| Payroll deduction: | $54.11 |
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PLAN INFORMATION
 PREMIUM |
|
| Annual cost: | $2601.00 |
| Paid by plan: | $0.00 |
| Paid by you: | $2601.00 |
| Payroll deduction: | $100.03 |
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PLAN INFORMATION