PLAN I
8-10-08 TO 8-10-09

PLAN II
8-10-08 TO 8-10-09

PLAN I
1-15-09 TO 8-10-09

PLAN II
1-15-09 TO 8-10-09
Student

$447.00

 

$991.00

 

$300.00

 

$664.00

 
Spouse

$1,829.00

 

$3,993.00

 

$1,226.00

 

$2,676.00

 
Each Child

$407.00

 

$903.00

 

$273.00

 

$605.00