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%

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