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Click on each benefit plan to make your selections. After you finish updating everything,
click the "Confirm" button below to view your election changes and proceed to submit them.

Current Benefits Selections  
Benefit Plan
Benefit Options
Coverage
Monthly Cost
Medical* Medical Blue Cross Empl+Deps $0.00
Dental Dental-Delta Dental Empl Only $0.00
Employee Life Four Times Pay   $15.96
Spouse Life $5,000   $0.53
Child Life $10,000   $2.16
AD&D four times pay - employee + dependents   $18.24
LTD 70% of pay replacement   $10.24
Health Care Account Coverage $1,500.00/yr. $125.00
Family Care Account Coverage $4,000.00/yr. $333.34
Total Monthly Cost: $505.47