Monthly Rates

Economy Plan

Choice Plan

Calendar Year Max Benefit Per Insured

Individual

$19.75

$46.39

$49.46

Individual + Spouse

$39.50

$92.78

$98.92

Individual + Child(ren)

$44.44

$104.38

$111.29

Family

$64.19

$150.77

$160.75

Monthly Rates

Economy Plan

Choice Plan

Calendar Year Max Benefit Per Insured

Individual

$21.33

$52.42

$55.89

Individual + Spouse

$42.66

$104.84

$111.78

Individual + Child(ren)

$46.02

$110.41

$117.72

Family

$67.35

$162.83

$173.61