Dental Coverage Blue Cross Medical
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1
4Number of PeopleYearIns PaysI PayLimitTotalAverageMaximum
2
3082.8Annual Family Plan160%40%50020001,285833
3
0Yearly Deductible280%20%90036009631,125
4
3082.8380%20%120048009631,500
5
6
I PayIns PaysDiffI PayIns PaysDiffI PayIns PaysDiff
7
To PayCashYear 1Year 2Year 3
8
003082.80-3082.83082.80-3082.83082.80-3082.8
9
1001003122.860-3022.83102.880-3002.83102.880-3002.8
10
2002003162.8120-2962.83122.8160-2922.83122.8160-2922.8
11
3003003202.8180-2902.83142.8240-2842.83142.8240-2842.8
12
4004003242.8240-2842.83162.8320-2762.83162.8320-2762.8
13
5005003282.8300-2782.83182.8400-2682.83182.8400-2682.8
14
6006003322.8360-2722.83202.8480-2602.83202.8480-2602.8
15
7007003362.8420-2662.83222.8560-2522.83222.8560-2522.8
16
8008003402.8480-2602.83242.8640-2442.83242.8640-2442.8
17
9009003442.8540-2542.83262.8720-2362.83262.8720-2362.8
18
100010003482.8600-2482.83282.8800-2282.83282.8800-2282.8
19
110011003522.8660-2422.83302.8880-2202.83302.8880-2202.8
20
120012003562.8720-2362.83322.8960-2122.83322.8960-2122.8
21
130013003602.8780-2302.83342.81040-2042.83342.81040-2042.8
22
140014003642.8840-2242.83362.81120-1962.83362.81120-1962.8
23
150015003682.8900-2182.83382.81200-1882.83382.81200-1882.8
24
160016003722.8960-2122.83402.81280-1802.83402.81280-1802.8
25
170017003762.81020-2062.83422.81360-1722.83422.81360-1722.8
26
180018003802.81080-2002.83442.81440-1642.83442.81440-1642.8
27
190019003842.81140-1942.83462.81520-1562.83462.81520-1562.8
28
200020003882.81200-1882.83482.81600-1482.83482.81600-1482.8
29
210021003922.81260-1822.83502.81680-1402.83502.81680-1402.8
30
220022003962.81320-1762.83522.81760-1322.83522.81760-1322.8
31
230023004002.81380-1702.83542.81840-1242.83542.81840-1242.8
32
240024004042.81440-1642.83562.81920-1162.83562.81920-1162.8
33
250025004082.81500-1582.83582.82000-1082.83582.82000-1082.8
34
260026004122.81560-1522.83602.82080-1002.83602.82080-1002.8
35
270027004162.81620-1462.83622.82160-922.83622.82160-922.8
36
280028004202.81680-1402.83642.82240-842.83642.82240-842.8
37
290029004242.81740-1342.83662.82320-762.83662.82320-762.8
38
300030004282.81800-1282.83682.82400-682.83682.82400-682.8
39
310031004322.81860-1222.83702.82480-602.83702.82480-602.8
40
320032004362.81920-1162.83722.82560-522.83722.82560-522.8
41
330033004402.81980-1102.83742.82640-442.83742.82640-442.8
42
340034004482.82000-1082.83762.82720-362.83762.82720-362.8
43
350035004582.82000-1082.83782.82800-282.83782.82800-282.8
44
360036004682.82000-1082.83802.82880-202.83802.82880-202.8
45
370037004782.82000-1082.83822.82960-122.83822.82960-122.8
46
380038004882.82000-1082.83842.83040-42.83842.83040-42.8
47
390039004982.82000-1082.83862.8312037.23862.8312037.2
48
400040005082.82000-1082.83882.83200117.23882.83200117.2
49
410041005182.82000-1082.83902.83280197.23902.83280197.2
50
420042005282.82000-1082.83922.83360277.23922.83360277.2
51
430043005382.82000-1082.83942.83440357.23942.83440357.2
52
440044005482.82000-1082.83962.83520437.23962.83520437.2
53
450045005582.82000-1082.83982.83600517.23982.83600517.2
54
460046005682.82000-1082.84082.83600517.24002.83680597.2
55
470047005782.82000-1082.84182.83600517.24022.83760677.2
56
480048005882.82000-1082.84282.83600517.24042.83840757.2
57
490049005982.82000-1082.84382.83600517.24062.83920837.2
58
500050006082.82000-1082.84482.83600517.24082.84000917.2
59
510051006182.82000-1082.84582.83600517.24102.84080997.2
60
520052006282.82000-1082.84682.83600517.24122.841601077.2
61
530053006382.82000-1082.84782.83600517.24142.842401157.2
62
540054006482.82000-1082.84882.83600517.24162.843201237.2
63
550055006582.82000-1082.84982.83600517.24182.844001317.2
64
560056006682.82000-1082.85082.83600517.24202.844801397.2
65
570057006782.82000-1082.85182.83600517.24222.845601477.2
66
580058006882.82000-1082.85282.83600517.24242.846401557.2
67
590059006982.82000-1082.85382.83600517.24262.847201637.2
68
600060007082.82000-1082.85482.83600517.24282.848001717.2
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