|
Pay by Credit Card
Monthly Premium |
blank |
Pay By Check
Annual Premium |
Basic Plan – Individual Only |
$12.00 |
|
|
$144.00 |
|
Basic Plan – Individual and Spouse/Domestic Partner |
$22.80 |
|
|
$273.60 |
|
Basic Plan – Individual and One or More Children |
$27.00 |
|
|
$324.00 |
|
Basic – Individual and Full Family |
$34.80 |
|
|
$417.60 |
|