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A member can be billed directly to their home address or charge premium to a Visa or MasterCard credit card account. Printer friendly version  | | Note: An administrative fee of $3 will be included on each billing / credit card transaction. |
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| IS200 Plan Monthly Costs | | Age | Member | Member
& Spouse | Member &
Child(ren) | Family | | Under 30 | $42 | $68 | $98 | $124 | | 30-34 | $51 | $84 | $107 | $140 | | 35-39 | $56 | $93 | $112 | $149 | | 40-44 | $62 | $103 | $118 | $159 | | 45-49 | $67 | $112 | $123 | $168 | | 50-54 | $73 | $123 | $129 | $179 | | 55-59 | $86 | $144 | $142 | $200 | | 60-64 | $111 | $188 | $167 | $244 | | 65+* | $142 | $243 | $198 | $299 |
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| IS350 Plan Monthly Costs | | Age | Member | Member
& Spouse | Member &
Child(ren) | Family | | Under 30 | $65 | $110 | $157 | $202 | | 30-34 | $80 | $138 | $173 | $230 | | 35-39 | $91 | $156 | $183 | $248 | | 40-44 | $101 | $174 | $193 | $267 | | 45-49 | $112 | $193 | $205 | $285 | | 50-54 | $125 | $215 | $217 | $307 | | 55-59 | $151 | $258 | $243 | $351 | | 60-64 | $202 | $349 | $294 | $441 | | 65+* | $269 | $467 | $361 | $559 |
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| IS500 Plan Monthly Costs | | Age | Member | Member
&Spouse | Member &
Child(ren) | Family | | Under 30 | $83 | $143 | $204 | $264 | | 30-34 | $103 | $180 | $224 | $301 | | 35-39 | $117 | $204 | $238 | $325 | | 40-44 | $131 | $228 | $252 | $349 | | 45-49 | $146 | $253 | $267 | $374 | | 50-54 | $163 | $282 | $283 | $403 | | 55-59 | $197 | $340 | $318 | $461 | | 60-64 | $265 | $460 | $386 | $581 | | 65+* | $355 | $619 | $476 | $740 |
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| *65+ costs are for renewal only. Coverage terminates at age 70. |
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| Dental Plan Monthly Costs | | | Member | Member
& Spouse | Member &
Child(ren) | Family | | All ages | | $24 | $48 | $64 | $88 | | |
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