PLAN NAME

TYPE/

UNION

SINGLE

PARENT/

CHILD

PARENT/

CHILDREN

COUPLE

FAMILY

Personal Choice 15/25/70

w/ Modifications

PFT

$576.91

$1,095.77

$1,284.09

$1,477.01

$1,659.59

Keystone

PFT

$422.85

$785.75

$826.59

$1,145.99

$1,185.28