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SALUD
> PMP PREMIUMS MENSUALES
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PLAN B DADE
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| Edad |
Hombre |
Mujer |
Niños/Dep. |
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| <1
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$242
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$242
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$242
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Other Plans
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 |
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| 1-18
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$121
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$121
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$121
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| 19
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$111
|
$130
|
M
111/F 129 |
| 20
|
$111
|
$142
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M
111/F 129 |
| 21
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$111
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$144
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M
111/F 129 |
| 22
|
$111
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$147
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N/A
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| 23
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$112
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$148
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N/A
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| 24
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$115
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$153
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N/A
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| 25
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$117
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$156
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N/A
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| 26
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$120
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$158
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N/A
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| 27
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$124
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$161
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N/A
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| 28
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$127
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$170
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N/A
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| 29
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$130
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$176
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N/A
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| 30
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$133
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$182
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N/A
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| 31
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$137
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$182
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N/A
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| 32
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$141
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$182
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N/A
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| 33
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$145
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$182
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N/A
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| 34
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$147
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$183
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N/A
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| 35
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$148
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$183
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N/A
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| 36
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$149
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$185
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N/A
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| 37
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$155
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$188
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N/A
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| 38
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$160
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$192
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N/A
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| 39
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$166
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$197
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N/A
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| 40
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$167
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$202
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N/A
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| 41
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$169
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$206
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N/A
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| 42
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$175
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$212
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N/A
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| 43
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$183
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$216
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N/A
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| 44
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$189
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$220
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N/A
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| 45
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$195
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$223
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N/A
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| 46
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$201
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$227
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N/A
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| 47
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$209
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$232
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N/A
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| 48
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$212
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$237
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N/A
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| 49
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$225
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$241
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N/A
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| 50
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$238
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$249
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N/A
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| 51
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$246
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$253
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N/A
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| 52
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$254
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$257
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N/A
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| 53
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$263
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$263
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N/A
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| 54
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$271
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$269
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N/A
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| 55
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$282
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$274
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N/A
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| 56
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$291
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$280
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N/A
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| 57
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$301
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$285
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N/A
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| 58
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$310
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$292
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N/A
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| 59
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$320
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$305
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N/A
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| 60
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$361
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$339
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N/A
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| 61
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$373
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$352
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N/A
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| 62
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$387
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$365
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N/A
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| 63
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$400
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$380
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N/A
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| 64
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$415
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$395
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N/A
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Optional Rider
Dental: $ 6.00 por miembro *
Optical: $ 5.00 por miembro
FORM NO: PMP/MK/DADE/RATEWRKSHTH7 (07/07)
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