PLAN NAME

TYPE/

UNION

SINGLE

PARENT/

CHILD

PARENT/

CHILDREN

COUPLE

FAMILY

Personal Choice 20/30/70

w/ Modifications

PFT

$612.96

$858.14

$1,103.32

$1,225.92

$1,838.87

Keystone

PFT

$455.52

$637.73

$819.94

$911.05

$1,366.57