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D0tI.j! j!w 4w` tj!d :   PBC Option 1 ($1,000 annual deductible) PBC Option 1 ($1,000 annual deductible) RTO/ERO Extended Health RTO/ERO Extended Health RTO/ERO Extended Health Johnson Option A ($2,000 drug max per year) Johnson Option A ($2,000 drug max per year) Johnson Option A ($2,000 drug max per year) Single $33.73Couple $76.55Single $95.11 Couple $190.25 Family $228.32 Single With Travel $145 Without travel $120 Couple With Travel $255 Without Travel $205Family With Travel $338 Without Travel $277Option 2 ($100 annual deductible) Option 2 ($100 annual deductible) Add-on Semi Private Hospital Plan Add-on Semi Private Hospital PlanAdd-on Semi Private Hospital PlanOption B ($4,000 drug max per year) Option B ($4,000 drug max per year) Option B ($4,000 drug max per year) Single $118.35Couple $213.02Single $14.60Couple $29.16Family $34.28Single With Travel $243 Without travel $218Couple With Travel $419 Without Travel $369Family With Travel $558 Without Travel $497Add-on dental Add-on dental Add-on dental Add-on dental Add-on dental Add-on dental Add-on dental Add-on dental Single $51.83Couple $98.48Single $58.21Couple $114.78Family $143.14Single Basic $50 Enhanced $61Couple Basic $99 Enhanced $122Family Basic $117 Enhanced $144How to apply: All applications are to be directed to the individual carrier. 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