EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

EMPLOYEE + FAMILY

Aetna OAMC PPO 500

$160.84

$325.14

$276.73

$622.63

Aetna OAMC PPO 2000

$140.72

$284.47

$242.10

$544.74

Aetna OAMC HDHP 3200

$33.00

$266.34

$226.68

$510.04

Guardian Core Dental

$0.00

$19.00

$30.00

$53.00

Guardian Buy Up Dental

$5.61

$30.42

$45.60

$75.62

Guardian VSP Vision

$0.00

$3.00

$3.00

$7.00