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  Dental
  Vision
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  Additional Life



Health Sub Title
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Rates shown are for groups who started with the OPEH&W Health Plan prior to 7/1/25.
  Member Child Children Spouse Spouse & Child Spouse & Children
Tungsten   0.00 0.00 0.00 0.00 0.00 0.00
Diamond   776.70 371.06 604.08 908.12 1,279.18 1,360.98
Platinum   699.04 333.96 543.68 817.30 1,151.26 1,360.98
Gold   667.96 319.12 519.50 780.98 1,100.10 1,300.48
Silver   644.66 307.98 501.38 753.74 1,061.72 1,255.12
Bronze   621.36 296.84 483.26 726.50 1,023.34 1,209.76
Cobalt   563.10 269.02 437.96 658.38 927.40 1,096.34
Copper   0.00 0.00 0.00 0.00 0.00 0.00


Dental Sub Title
Dental Coverage Options Button

  Member Child Children Spouse Spouse & Child Spouse & Children
Enhanced   49.76 26.30 41.80 61.46 87.76 103.26
Standard   44.78 23.66 37.64 55.32 78.98 92.96


Vision Sub Title
Vision Coverage Options Button

  Member Child Children Spouse Spouse & Child Spouse & Children
Enhanced   7.74 7.22 7.22 6.80 18.44 18.44
Standard   6.28 5.82 5.82 5.50 14.92 14.92


Group Life Sub Title
Group Life Coverage Options Button

Benefit          Rate
20,000 6.50
30,000 9.74
40,000 13.00
50,000 16.24


Additional Life Sub Title
Additional Life Coverage Options Button

Per $5,000 of Coverage
         18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+
With AD&D 0.50 0.65 0.85 1.30 2.10 3.35 3.85 6.20 10.40 16.05
Without AD&D 0.35 0.50 0.70 1.15 1.95 3.20 3.70 6.05 10.25 15.90