EMPLOYEE

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD(REN)

EMPLOYEE + FAMILY

Aetna OAMC PPO 500

$0.00

$270.95

$230.61

$518.86

Aetna OAMC PPO 2000

$0.00

$237.06

$201.75

$453.95

Aetna OAMC HDHP 3200

$0.00

$221.95

$188.90

$425.03

Guardian Core Dental

$0.00

$18.21

$29.55

$52.39

Guardian Buy Up Dental

$0.00

$21.10

$34.49

$60.89

Guardian VSP Vision

$0.00

$2.63

$2.76

$6.61