| Monthly Premiums |
Medical |
Dental |
| IU PPO-Plus |
| One participant |
$496.25 |
$22.55
|
| One participant and child(ren) |
$982.97 |
$40.61
|
| Participant and spouse |
$1203.94 |
$52.98
|
| Participant and family |
$1367.02 |
$77.27
|
| IU PPO $900 Deductible |
| One participant |
$311.56
|
$22.55
|
| One participant and child(ren) |
$621.46
|
$40.61
|
| Participant and spouse |
$759.72
|
$52.98
|
| Participant and family |
$862.78
|
$77.27
|
| Blue Preferred Primary POS |
| One participant |
$342.03
|
$22.55
|
| One participant and child(ren) |
$677.53
|
$40.61
|
| Participant and spouse |
$829.84
|
$52.98
|
| Participant and family |
$942.23
|
$77.27
|
| M-Plan HMO |
| One participant |
$386.86
|
$22.55
|
| One participant and child(ren) |
$728.30
|
$40.61
|
| Participant and spouse |
$891.43
|
$52.98
|
| Participant and family |
$1011.83
|
$77.27
|
