Laserfiche WebLink
<br />SUMMARY OF BENEFITS: <br />INSURANCE <br />PLAN 4 <br />• <br />$40 room for 30 days <br />ICU in full <br />$50 Med-Burg Deductible <br />$500 Surgical Schedule <br />20$ Anesthesia <br />$150 AIS <br />$250,000 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 />$21.83 + $4.20 <br />23.71 <br />30.01 <br />38.52 <br />$ 1.52 <br />New <br />7.97 <br />10..00 <br /> <br />• <br />