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PLAN DOCUMENTS
  Standard DPPO Enhanced DPPO
Plan Summary download (Eng)
download (Sp)
download (Eng)
download (Sp)
SBC download (Eng)
download (Sp)
download (Eng)
download (Sp)
Contract download download
PLAN COSTS PER PAYCHECK
Employee (EE) $1.14 $10.32
EE + Spouse $23.79 $37.82
EE + Child(ren) $19.51 $32.84
EE + Family $46.21 $65.63

Aetna Standard DPPO

  • Plan Summary (Eng)
  • Plan Summary (Sp)
  • Summary of Benefits and Coverage (Eng)
  • Summary of Benefits and Coverage (Sp)
  • Contract
  • Employee Only
    $1.14
  • Employee + Spouse
    $23.79
  • Employee + Child(ren)
    $19.51
  • Employee + Family
    $46.21

Aetna Enhanced DPPO

  • Plan Summary (Eng)
  • Plan Summary (Sp)
  • Summary of Benefits and Coverage (Eng)
  • Summary of Benefits and Coverage (Sp)
  • Contract
  • Employee Only
    $10.32
  • Employee + Spouse
    $37.82
  • Employee + Child(ren)
    $32.84
  • Employee + Family
    $65.63
  • Benefits Service Center

    If you have questions or need additional information feel free to contact the Benefit Service Center. Click below to get in touch.

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