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Health Benefits
Level Plan
Level Plan
The Level Plan offers a higher deductible and higher out-of-pocket maximum for a lower premium cost than the Select Plan.
Level Plan Weekly Medical Premium Rates
Employee
Employee +1
Family
$23.45
$65.49
$109.47
Out-of-Pocket Costs
Deductible/Out-of-Pocket Max
In-Network
Out-of-Network
Single Deductible
$500
$1,250
Family Deductible
$1,250
$2,250
Single Out-of-Pocket Max
$2,000
$4,000
Family Out-of-Pocket Max
$2,500
$5,000
Co-Insurance
90%
70%
For more information, please click
here
.
Level Plan
Select Plan
Plus Plan
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