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MEDICAL HMO PPO Employee Only $0 $0 Employee + Partner $139.32 $159.42 2023 Employee +Child(ren) $118.42 $135.50 BI- WEEKLY Family $257.75 $294.91 CONTRIBUTIONS DENTAL Employee Only $0 Employee + Partner $15.89 Employee +Child(ren) $15.89 Family $15.89 VISION Employee Only $0 Employee + Partner $0.59 Employee +Child(ren) $0.63 Family $1.62 [ 24 ]

2023 Open Enrollment Presentation - Page 24 2023 Open Enrollment Presentation Page 23 Page 25