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<br />Com~rehensive Medical - Extended Drug Dependency Rider. (See GM-] section of <br /> specÏ8en contract). <br /> Monthly Premium <br />Employee Deàuctible 1 $ 1.68 <br /> DeCluctible 2 $ H/A <br /> <br />Employee/Spouse DeCluctiblel $ 3.71 <br /> <br /> Deductible 2 $ NfA <br /> <br />Employee/Children Deductible 1 $ ~L37 <br /> <br /> Deductible 2 $ N/A <br /> <br />Employee/Family Deductible 1 $ 5.32 <br /> <br /> Deductible 2 $ N/A <br /> <br />MeClicare Supplement Deductible 1 $ RIA <br /> <br /> Deductible 2 $ NfA <br /> <br />Com~rehensive Dental <br /> <br />Monthly Premium. <br /> <br />Employee <br /> <br />E::nployee/Family <br /> <br />Deductible 1 $ RIA <br /> <br />D8d.uctibla 2 $ MIA <br /> <br />Deductible 1 $ N/A <br />Deductible 2 $ MIA <br /> <br />DeCluctible 1 $ RIA <br />DeCluctible 2 $ RIA <br />DeCluctible 1 $ NfA <br />Deductible 2 $ NfA <br />DeCluctible 1 $ NfA <br />Deductible 2 $ NfA <br /> <br />Employee/Spouse <br /> <br />Employee/~~ildren <br /> <br />Medicare Supplement <br /> <br />B-2 <br />