Page 9 - Williams Gun Sight Benefits Booklet
P. 9
BCBS Plan Bi-Weekly Rates
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BCBS $3,000 – NO GAP BCBS $3,000 – With $3,000 GAP BCBS $3,000 With $5,000 GAP
Tier Weekly Rate Tier Weekly Rate Tier Weekly Rate
Employee Only $27.82 Employee Only $32.62 Employee Only $39.62
EE + 1 $59.58 EE + 1 $74.99 EE + 1 $86.99
Family $83.47 Family $96.68 Family $115.99
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