Page 84 - APPENDICES for Vic Bosiger
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This plan includes optional bene ts you can add to your coverage at an additional cost.



       Package #1 Includes comprehensive dental services                                 Monthly premium:

                                                                                         $56.20
                                                                                         Deductible: N/A





       Package #2 Includes comprehensive dental services                                 Monthly premium: $81.50

                                                                                         Deductible: N/A








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