Cost 0
  (per month)

    Base Plan Rate: See rates below.
    Gender Coverage Rates
    Smoker Non-Smoker
    Male $2 $2
    Female $2 $2

    Base Plan Rate Type: Per $1,000 of benefit
    Base Plan Contribution: Employee contributes 0% per month.
Cost 0
  (per month)

    Base Plan Rate: See rates below.
    Gender Coverage Rates
    Male $2
    Female $2

    Base Plan Rate Type: Per $1,000 of benefit
    Base Plan Contribution: Employee contributes 0% per month.
Cost 0
  (per month)

    Base Plan Rate: See rates below.
    Age Band Structure Coverage Rates
    Male Female
    0-14 $2 $2
    15-19 $2 $2
    20-24 $2 $2
    21-29 $2 $2
    30-34 $2 $2
    35-39 $2 $2
    40-44 $2 $2
    45-49 $2 $2
    50-54 $2 $2
    55-59 $2 $2
    60-64 $2 $2
    65-69 $2 $2
    70-74 $2 $2
    75 and over $2 $2

    Base Plan Rate Type: Per $1,000 of benefit
    Base Plan Contribution: Employee contributes 0% per month.
Cost 0
  (per month)

    Base Plan Rate: See rates below.
    Age Band Structure Rate
    0-14 $2
    15-19 $2
    20-24 $2
    21-29 $2
    30-34 $2
    35-39 $2
    40-44 $2
    45-49 $2
    50-54 $2
    55-59 $2
    60-64 $2
    65 and over $2

    Base Plan Rate Type: Per $1,000 of benefit
    Base Plan Contribution: Employee contributes 0% per month.

    Buy-Up Plan Rate: See rates below.
    Buy-Up Age Band Structure Coverage Rates
    Male Female
    Smoker Non-Smoker Smoker Non-Smoker
    0-14 $2.00 $2.00 $2.00 $2.00
    15-19 $2.00 $2.00 $2.00 $2.00
    20-24 $2.00 $2.00 $2.00 $2.00
    21-29 $2.00 $2.00 $2.00 $2.00
    30-34 $2.00 $2.00 $2.00 $2.00
    35-39 $2.00 $2.00 $2.00 $2.00
    40-44 $2.00 $2.00 $2.00 $2.00
    45-49 $2.00 $2.00 $2.00 $2.00
    50-54 $2.00 $2.00 $2.00 $2.00
    55-59 $2.00 $2.00 $2.00 $2.00
    60-64 $2.00 $2.00 $2.00 $2.00
    65-69 $2.00 $2.00 $2.00 $2.00
    70-74 $2.00 $2.00 $2.00 $2.00
    75 and over $2.00 $2.00 $2.00 $2.00

    Buy-Up Plan Rate Type: Per $1,000 of benefit
    Buy-Up Plan Contribution: Employee contributes 5% per month.


Cost 0
  (per month)

    Base Plan Rate: $3.00
    Base Plan Rate Type: Flat Rate
    Base Plan Contribution: Employee contributes 0% per month.
    Note: See text and text for text.

Cost 0
  (per month)

    Base Plan Rate: See rates below.
    Age Band Structure Coverage Rates
    0-14 $2
    15-19 $2
    20-24 $2
    21-29 $2
    30-34 $2
    35-39 $2
    40-44 $2
    45-49 $2
    50-54 $2
    55-59 $2
    60-64 $2
    65 and over $2

    Base Plan Rate Type: Per $1,000 of benefit
    Base Plan Contribution: Employee contributes 0% per month.

    Buy-Up Rates: See rates below.
    Buy-Up Age Band Structure Coverage Rates
    Male Female
    Smoker Non-Smoker Smoker Non-Smoker
    0-14 $2.00 $2.00 $2.00 $2.00
    15-19 $2.00 $2.00 $2.00 $2.00
    20-24 $2.00 $2.00 $2.00 $2.00
    21-29 $2.00 $2.00 $2.00 $2.00
    30-34 $2.00 $2.00 $2.00 $2.00
    35-39 $2.00 $2.00 $2.00 $2.00
    40-44 $2.00 $2.00 $2.00 $2.00
    45-49 $2.00 $2.00 $2.00 $2.00
    50-54 $2.00 $2.00 $2.00 $2.00
    55-59 $2.00 $2.00 $2.00 $2.00
    60-64 $2.00 $2.00 $2.00 $2.00
    65-69 $2.00 $2.00 $2.00 $2.00
    70-74 $2.00 $2.00 $2.00 $2.00
    75 and over $2.00 $2.00 $2.00 $2.00

    Buy-Up Rate Type: Per $1,000 of benefit
    Buy-Up Plan Contribution: Employee contributes 5% per month.