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Medical Plan- HDHP 4 w HSA-2021
Human Resources | PageCalendar Year $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ... that calendar year total and meet the family’s out-of-pocket maximum amount. Medical Services Member ...
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Map Text Amendment Application
Community Development | Pageamendments to the text and map(s) of this Ordinance in a form convenient for use by the public. 12.07 ...
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Medical Plan PCPA 2023
Human Resources | PageBCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...
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Medical Plan 2023
Human Resources | PageBCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...
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Regence Medical-Fire-2022
Human Resources | Pagecovered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual $750 ... Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating Provider ... Scripts Pharmacy Program (90-day supply) Member Pays Individual deductible per calendar year No deductible ...
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Medical Plan- Co-Pay Plan E-2021
Human Resources | Pageyour covered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual ... $750 Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating ... deductible per calendar year No deductible Out-of-pocket maximum each calendar year $2,500 per person/$7,500 ...
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Medical Plan Fire 2023
Human Resources | Pagecovered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual $750 ... Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating Provider ... (90-day supply) Member Pays Individual deductible per calendar year No deductible Out-of-pocket maximum ...
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Co-Pay Plan A Summary 2019
Human Resources | Pageyour covered medical services and supplies. Copay Plan A Deductible Per Calendar Year $250 Individual ... $750 Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating ... Member Pays Mail Order Program (90-day supply) Member Pays Individual deductible per calendar year No ...
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Co-Pay Plan A Summary 2020
Human Resources | Pageyour covered medical services and supplies. Copay Plan A Deductible Per Calendar Year $250 Individual ... $750 Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating ... Order Program (90-day supply) Member Pays Individual deductible per calendar year No deductible ...
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Bloodborne Pathogens Exposure Checklist & Forms
Human Resources | Page14. Birthdate: 15. Gender: |_|M |_|F 16. Mailing address, city, state and zip: 17. Home ...