COBRA Enrollment
Deadline
Nov 30, 2019
at 11:59pm ET
4
Benefit Summary
1
Intro
2
Family Members
3
Things To Review
4
Make Elections
5
Completed
$291.84
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Monthly Cost
(effective date)
You
Pat
Morgan
Cameron
Medical
Consumer Choice HDHP (HSA Eligible)
Monthly Cost
$271.84
01/01/
You
Pat
Morgan
Cameron
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Medical
1
Who do you want to cover?
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You
Pat
Morgan
Cameron
2
Which Medical plan would you like?
Plan Options
Waived
Per-Pay-Period Cost
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No Coverage
$
Consumer Choice HDHP (HSA Eligible)
$
Premium Plan
$
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Dental
DMO Plan
Per-Pay-Period Cost
$20.00
01/01/
You
Pat
Morgan
Cameron
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Dental
1
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You
Pat
Morgan
Cameron
2
What dental plan would you like?
Plan Options
Waived
Per-Pay-Period Cost
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No Coverage
$
DMO Plan
$
PPO Plan
$
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Vision
No coverage
Per-Pay-Period Cost
$0.00
01/01/
You
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Vision
1
Who do you want to cover?
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You
Pat
Morgan
Cameron
2
What vision plan would you like?
Plan Options
Waived
Per-Pay-Period Cost
View All Costs
No Coverage
$
Standard Plan
$
Premium Plan
$
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Continue
Total
$291.84
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