Option	
Individual	
Individual + 1	
Individual + 2 or More	

No Coverage 	
$0.00	
$0.00	
$0.00	

Point of Service (POS) 	
$53.00	
$96.00	
$138.00	

					

Option	Individual	Individual + 1 or More	
	No Coverage 	$0.00	$0.00	
	Medical Plus 	$4.00	$6.0	

Option	Individual	Individual + 1	Individual + 2 or More	
	No Coverage 	$0.00	$0.00	$0.00	
	Fee-for-Service 	$2.00	$4.00	$6.00	
	Dental Health Maintenance Org. 	$1.00	$2.00	$3.00