Page 11 - Signs 365 Benefits Booklet
P. 11
Signs 365 Major Medical Plan Rates
United Healthcare’s PPO Network
UHC $5,000 HDHP with $3,000 GAP UHC $5,000 HDHP with $5,000 GAP UHC $5,000 COPAY with $5,000 GAP
Weekly Weekly Weekly
Service Service Service
Premium Premium Premium
Employee $43.55 Employee $48.97 Employee $58.94
Employee + 1 $127.77 Employee + 1 $136.54 Employee + 1 $160.47
Employee + Employee + Employee +
$173.44 $186.94 $216.84
Family Family Family
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