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Choice of Plans

1. Traditional (80% or 50% Plan)
2. Preferred Provider Organization (PPO)
3. Point of Service (POS)
4. Health Maintenance Organization (HMO)

Lifetime Maximum Options

$2,000,000
$5,000,000

Doctor Office Visit Co-Pay Options

$10
$15
$20
$25

(Not subject to deductible)

Prescription Drug Card Options
$10 Generic/$20 Brand Name
$15 Generic/$25 Brand Name
Deductible Options

0-
$250
$500
$1,000
$2,500

Co-Insurance
Traditional Plans
80% or 50%
PPO/POS Plans
100% In Network/80% Out of Network
90% In Network/70% Out of Network
80% In Network/60% Out of Network
HMO Plan
100%
Participation Options
Owner(s) Only
All Eligible Employees
Optional Benefits

- Maternity (Paid the same as any illness)
- Supplemental Accident ($300 per accident, Paid at !00%)
- Life/AD&D - $10,000; $15,000; $20,000; $30,000
- Dental - $50 Deductible; Benefits available at 100% Preventative. 80% Basic; 50% Major.

(Optional Benefits may not be available for firms with 1 employee)

 


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