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<br />*'1'b. below preaiua rates :are for Medical coyerages only. See the folloving pages <br />"or additional Riders which aay be added to the bèlov rates. <br /> <br />Comcrehensive Medical <br /> <br />Employee <br /> <br /> Monthly Premium <br />Deductible 1 A-2 $ 75.80* <br />Deductible 2 A-5 $ 73.32* <br /> <br />Deductible 1 A-2 $ 166.76* <br /> <br />Deductible 2 A-5 $ 161. 29* <br /> <br />Deductible 1 A-2 $ 151. 60* <br /> <br />Deductible 2 A-5 $ 146.63* <br /> <br />Deductible 1 A-2 $ 239.53* <br />Deductible 2 A-5 $ 231.68* <br /> <br />Employee/Spouse <br /> <br />Employee/Children <br /> <br />Employee/Family <br /> <br />Medicare Supplement ** <br /> <br />Deductible 1 <br /> <br />$ <br />$ <br /> <br />BfA <br /> <br />Deductible 2 <br /> <br />BfA <br /> <br />**Retirees or any medicare eligible e.ployee will have the same benefits and cost <br />as an active employee. <br /> <br />Com~rehensive Dental <br /> <br />Employee/Children <br /> <br /> Monthly Premium <br />Deduct:ible 1 $ BfA <br />Deductible 2 $ BfA <br />Deductible 1 $ BfA <br />Deductible 2 $ BfA <br />Deductible 1 $ BfA <br />Deductible 2 $ BfA <br />Deductible 1 $ BfA <br />Deductible 2 $ BfA <br />Deductible 1 $ BfA <br />Deductible 2 $ BfA <br /> <br />Employee <br /> <br />Employee/Spouse <br /> <br />Employee/Family <br /> <br />Medicare Supplement <br /> <br />B-2 <br />