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• <br />• <br />• INSURANCE <br />PLAN 3 <br />SUMMARY OF BENEFITS: <br />$40 room for 30 days <br />ICU in full <br />$25 Med-Burg Deductible <br />$500 Surgical Schedule <br />20~ Anesthesia <br />$150 AIS <br />10-20,000 Major Medical <br />$60 room limit <br />$100 Deductible <br />Out-patient drugs in full <br />Out--patient psychiatric .$12.50 weekly maximum <br />AMOUNT OF <br />INCREASE <br />Individual <br />• Emp. & Children <br />Emp. & Spouse <br />Family <br />$21.84 + $4.20 <br />24.20 ' <br />30.70 <br />38.73 <br />$ 1.53 <br />New <br />8.66 <br />lo.al <br /> <br /> <br />