 BASIC |
|
| Annual cost: | $1473.00 |
| Paid by plan: | $1473.00 |
| Paid by you: | $0 |
| Payroll deduction: | $0 |
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PLAN INFORMATION
 ENHANCED |
|
| Annual cost: | $2732.00 |
| Paid by plan: | $2732.00 |
| Paid by you: | $0 |
| Payroll deduction: | $0 |
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PLAN INFORMATION
 PREMIUM |
|
| Annual cost: | $5049.00 |
| Paid by plan: | $2940.00 |
| Paid by you: | $2109.00 |
| Payroll deduction: | $81.11 |
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PLAN INFORMATION