Select Plan

The Select Plan offers a lower deductible and lower out-of-pocket maximum for a higher premium cost than the Level Plan.

Select Plan Weekly Medical Premium Rates

Employee Employee +1 Family
$30.00 $78.46 131.54

Out-of-Pocket Costs

  In-Network Out-of-Network
Single Deductible $250 $750
Family Deductible $625 $2,250
Single Out-of-Pocket Max $1,500 $2,500
Family Out-of-Pocket Max $3,000 $5,000
Co-Insurance 90% 70%

For more information, please click here.