Effective Plan Dates: August 1, 2025 — July 31, 2026

Medical Cost of Coverage

UnitedHealthcare Medical Premier Plan Standard Plan Advantage Plan MEC Value Plan
Your Bi-monthly Deductions
Employee Only $136.00 $87.00 $60.00 $35.00
Employee + Spouse $306.00 $195.00 $166.00 $136.00
Employee + Child(ren) $278.00 $177.00 $150.00 $124.00
Employee + Family $435.00 $277.00 $235.00 $193.00

Dental Cost of Coverage

UnitedHealthcare Dental PPO Low PPO High
Your Bi-monthly Deductions
Employee Only $5.50 $9.00
Employee + Spouse $13.00 $19.00
Employee + Child(ren) $15.00 $27.00
Employee + Family $20.50 $35.00

Vision Cost of Coverage

Vision Service Plan (VSP) Signature Plan Enhanced Plan
Your Bi-monthly Deductions
Employee Only $5.48 $14.16
Employee + Family $15.17 $39.29

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