plan tier
pays per month
pays per month
pays per week
Employee only
Employee + Spouse
Employee + Child(ren)
Employee + Family
$477.07
$962.92
$757.32
$1,322.44
$113.64
$513.11
$420.89
$703.79
$28.41
$128.28
$105.22
$175.95
plan tier
pays per month
pays per week
Employee only
Employee + Spouse
Employee + Child(ren)
Employee + Family
$23.00
$44.10
$58.30
$79.40
$5.75
$11.03
$14.58
$19.85
plan tier
pays per month
pays per week
Employee only
Employee + Spouse
Employee + Child(ren)
Employee + Family
$8.74
$16.60
$17.48
$25.69
$2.19
$4.15
$4.37
$6.42